NPIMap

Organization Active NPI

St Vincent Salem Hospital Inc

  • Critical Access Hospital
  • Salem, IN
National Provider Identifier
1427388982
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
ST VINCENT SALEM HOSPITAL INC
Practice address
911 N Shelby St
Salem, IN 47167-2304
Phone
(812) 883-8550
Fax
(812) 883-8563
NPI assigned
Jan 6, 2010
Last updated
Oct 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Dana M Muntz
Title
Administrator/Cno
Phone
(812) 883-8550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

911 N Shelby St
Salem, IN 47167-2304

Mailing address

911 N Shelby St
Salem, IN 47167-2304
Phone (812) 883-8550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100302000488 IN Part A Provider - Critical Access Hospital 6507901501 Practice locations: Salem, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427388982. Details of each certification follow.

Hospital certification: CCN 151314

Legal name
ST VINCENT SALEM HOSPITAL INC
Doing business as
ASCENSION ST VINCENT SALEM
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2002
Last certification
Nov 20, 2002
Beds
25
Ownership / control type
Private (not for profit)
Most recent change of ownership
Feb 1, 2010 (2 total)
Organization structure
CorporationNon-profit
Enrollment address
911 N Shelby St
Salem, IN 47167-2304
Other Hospital Practice Location

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 SalemCCN 151314 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
St Vincent Salem Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

911 N Shelby St
Salem, IN 47167
Phone (812) 883-5881

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, 2023
Carlyle Floyd Individual Corporate DirectorBoard Member Jul 1, 2023
Jill Payne Individual Corporate DirectorBoard Member Jul 1, 2025
Dana M Muntz Individual Corporate OfficerPresident Rural Healthcare Jul 1, 2022
W-2 Managing EmployeePresident Rural Healthcare Jul 1, 2022
Allison Taylor Individual Corporate DirectorBoard Member Jul 1, 2025
Robin Ludlow Individual Corporate DirectorBoard Member Jul 1, 2026
Todd Jones Individual Corporate DirectorBoard Member Jul 1, 2025
St Vincent Salem Hospital Inc Organization, Salem, IN Non-profit 5% Or Greater Direct Ownership Interest Aug 28, 2009 100%
Loraine Brown Individual Corporate DirectorBoard Member Jul 1, 2025
Brittney Garloch Individual Corporate OfficerAdministrator Feb 1, 2026
W-2 Managing EmployeeAd; Feb 1, 2026
Ascension Health Organization, Saint Louis, MO Non-profit Operational/Managerial Control Aug 28, 2009
St Vincent Health Inc Organization, Indianapolis, IN Non-profit, Chain home office Operational/Managerial Control Aug 28, 2009 100%
Ryan Penrod Individual Corporate DirectorBoard Member Jul 1, 2023

Owners & managing parties with NPI records 2

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

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 1

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.

Affiliated clinicians 79

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

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1427388982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N SHELBY ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672304",
            "telephone_number": "812-883-8550",
            "fax_number": "812-883-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N SHELBY ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672304",
            "telephone_number": "812-883-8550",
            "fax_number": "812-883-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT SALEM HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "MUNTZ",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR/CNO",
        "authorized_official_telephone_number": "812-883-8550"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IN

Sources for this page

Verify at the official NPI Registry.