NPIMap

Organization Active NPI

St. Vincent Williamsport Hospital

Doing business as Ascension St. Vincent Williamsport

  • Occupational Medicine Physician
  • Williamsport, IN
National Provider Identifier
1689338006
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
ST. VINCENT WILLIAMSPORT HOSPITAL
Doing business as
Ascension St. Vincent Williamsport
Practice address
412 N Monroe St
Williamsport, IN 47993-1049
Phone
(765) 762-4180
NPI assigned
Oct 22, 2021
Last updated
Oct 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Trina Marlatt, RN, MSN
Title
Administrator
Phone
(765) 762-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X Primary

Addresses

Primary practice location

412 N Monroe St
Williamsport, IN 47993-1049

Mailing address

412 N Monroe St
Williamsport, IN 47993-1049

Other names 1

  • ASCENSION ST. VINCENT WILLIAMSPORT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Veedersburg Medical Cli7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1689338006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N MONROE ST",
            "city": "WILLIAMSPORT",
            "state": "IN",
            "postal_code": "479931049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N MONROE ST",
            "city": "WILLIAMSPORT",
            "state": "IN",
            "postal_code": "479931049",
            "telephone_number": "765-762-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT WILLIAMSPORT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "MARLATT",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "765-762-4000",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASCENSION ST. VINCENT WILLIAMSPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.