St. Vincent Children's Specialty Hospital, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ST. VINCENT CHILDREN'S SPECIALTY HOSPITAL, INC.

Doing business as

St. Vincent Children's Specialty Hospital Services

Practice address

1707 W 86TH St
Indianapolis, IN 46260-2002

Phone

(317) 415-5500

NPI assigned

Jan 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roland Funsten

Title

Asst VP Finance

Phone

(317) 338-8198

Specialties & licenses 1

Addresses

Other names 1

• St. Vincent Children's Specialty Hospital Services Doing business as

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730239849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68952",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462680952",
            "telephone_number": "317-870-6740",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602002",
            "telephone_number": "317-415-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT CHILDREN'S SPECIALTY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUNSTEN",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "ASST VP FINANCE",
        "authorized_official_telephone_number": "317-338-8198"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent Children's Specialty Hospital Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Mary's Child Center
• St. Vincent
• St. Vincent
• St. Vincent Anderson Regional Hospital, Inc. (St. Vincent Home Medical)
• St. Vincent Ascension
• St. Vincent Emergency Physicians, Inc.
• St. Vincent Health
• St. Vincent Health Services
• St. Vincent Health Wellness and Preventive Care Institute, Inc. (Ascension St. Vincent Wellness)
• St. Vincent Health Wellness and Preventive Care Institute, Inc. (Ascension St. Vincent Wellness)

• Physical Medicine & Rehabilitation Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Medicine & Rehabilitation Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.