Organization Active NPI

St. Vincent Jennings Hospital, Inc

  • Rural Health Clinic/Center
  • North Vernon, IN
National Provider Identifier
1164614723
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ST. VINCENT JENNINGS HOSPITAL, INC
Practice address
301 Henry St
North Vernon, IN 47265-1063
Phone
(812) 352-4300
NPI assigned
Aug 16, 2007
Organization subpart
Yes
Parent organization
ST. VINCENT JENNINGS HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
D. Bruce Haga
Title
Vice President
Phone
(317) 583-3087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

301 Henry St
North Vernon, IN 47265-1063

Mailing address

10330 N Meridian St
Suite 201
Indianapolis, IN 46290-1024

Other names 1

  • Jennings Family Care Other name

National Provider Directory

National Provider Directory
Part of
St Vincent Jennings Hospita

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1164614723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 N MERIDIAN ST",
            "address_2": "SUITE 201",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HENRY ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472651063",
            "telephone_number": "812-352-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT JENNINGS HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT JENNINGS HOSPITAL, INC",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "HAGA",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "317-583-3087"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennings Family Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Vernon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.