Organization Active NPI

Vincennes University

  • Case Management Agency
  • Vincennes, IN
National Provider Identifier
1457305542
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
VINCENNES UNIVERSITY
Doing business as
Generations
Practice address
1019 N 4TH St
Vincennes, IN 47591-2355
Phone
(812) 888-5880
Fax
(812) 888-4566
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Ms. Anne N Jacoby
Title
Director
Phone
(800) 742-9002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1019 N 4TH St
Vincennes, IN 47591-2355

Mailing address

1019 N 4TH St
PO Box 314
Vincennes, IN 47591-2355
Phone (812) 888-5880

Other identifiers 2

IdentifierTypeStateIssuer
200344680MedicaidIN
100107960AMedicaidIN

Other names 1

  • Generations Doing business as

National Provider Directory

National Provider Directory

Locations

1019 N 4th St
Vincennes, IN 47591
Phone (812) 888-5880

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1457305542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 N 4TH ST",
            "address_2": "PO BOX 314",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912355",
            "telephone_number": "812-888-5880",
            "fax_number": "812-888-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 N 4TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912355",
            "telephone_number": "812-888-5880",
            "fax_number": "812-888-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENNES UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "800-742-9002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200344680",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107960A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.