NPIMap

Organization Active NPI

St. Vincent Jennings Hospital, Inc.

  • Critical Access Hospital
  • North Vernon, IN
National Provider Identifier
1285684829
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
ST. VINCENT JENNINGS HOSPITAL, INC.
Practice address
301 Henry St
North Vernon, IN 47265-1063
Phone
(812) 352-4200
NPI assigned
May 12, 2006
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Joseph Roche
Title
Administrator
Phone
(812) 352-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X IN Primary

Addresses

Primary practice location

301 Henry St
North Vernon, IN 47265-1063

Mailing address

301 Henry St
North Vernon, IN 47265-1063
Phone (812) 352-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080114000466 IN Part A Provider - Critical Access Hospital 8325948011 Practice locations: North Vernon, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285684829. Details of each certification follow.

Hospital certification: CCN 151303

Legal name
ST. VINCENT JENNINGS HOSPITAL, INC.
Doing business as
ASCENSION ST VINCENT JENNINGS
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Mar 1, 2000
Last certification
Apr 3, 2001
Beds
19
Ownership / control type
Church
Organization structure
CorporationNon-profit
Enrollment address
301 Henry St
North Vernon, IN 47265-1030

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Ascension St Vincent JenningsCCN 151303 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1441 Avocado Ave
Ste 301
Newport Beach, CA 92660
Phone (949) 272-2095

2655 1st St
Ste 360
Simi Valley, CA 93065
Phone (805) 583-7640

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ronald C Perkins Individual Corporate DirectorBoard Member Jul 1, 2025
Jacob Steve Baker Individual Corporate DirectorBoard Member Jul 1, 2022
Carlyle Floyd Individual Corporate DirectorBoard Member Jul 1, 2022
Jill Payne Individual Corporate DirectorBoard Member Jul 1, 2025
Dana M Muntz Individual Corporate OfficerPresident Jul 1, 2022
Allison Taylor Individual Corporate DirectorBoard Member Jul 1, 2025
Robin Ludlow Individual Corporate DirectorBoard Member Jul 1, 2025
Christina Crank Individual Corporate OfficerAdministrator Jul 1, 2022
W-2 Managing EmployeeAdministrator Jul 1, 2022
Todd Jones Individual Corporate DirectorBoard Member Jul 1, 2025
Loraine Brown Individual Corporate DirectorBoard Member Jul 1, 2025
Ascension Health Organization, Saint Louis, MO Non-profit Operational/Managerial Control Nov 1, 1999
St. Vincent Jennings Hospital, Inc. Organization, North Vernon, IN Non-profit 5% Or Greater Direct Ownership Interest Oct 19, 1990 100%
St Vincent Health Inc Organization, Indianapolis, IN Non-profit Operational/Managerial Control Sep 1, 1999
Ryan Penrod Individual Corporate DirectorBoard Member Jul 1, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascension St. Vincent JenningsNorth Vernon, IN, CCN 15Z303 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 19, 1990

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 166

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 166

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

Affiliated clinicians 68

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1285684829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HENRY ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472651063",
            "telephone_number": "812-352-4200"
        },
        {
            "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": "812-352-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT JENNINGS HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "812-352-4200"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Vernon, IN

Sources for this page

Verify at the official NPI Registry.