Active NPI
Vincennes University
- Case Management Agency
- Vincennes, IN
National Provider Identifier
1457305542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200344680 | Medicaid | IN | |
| 100107960A | Medicaid | IN |
Other names 1
- Generations
National Provider Directory
National Provider DirectoryLocations
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.