St Elizabeth Ann Seton Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

ST ELIZABETH ANN SETON HOSPITAL

Practice address

3700 Washington Ave
Evansville, IN 47750-0001

Phone

(812) 485-7443

NPI assigned

Aug 12, 2005

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

Mrs. Carol Godsey, RN MSN

Title

Executive Director

Phone

(812) 485-7442

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780686493. Details of each certification follow.

• CCN 152011 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 152011

Legal name

ST ELIZABETH ANN SETON HOSPITAL INC

Certification status

Terminated Voluntary: merger or closure, Oct 31, 2005

Provider type (POS)

Hospital – Long-term

Participating since

Jan 17, 1995

Last certification

Apr 6, 2004

Beds

31

Ownership / control type

Church

Facility address

3700 Washington Avenue
Evansville, IN 47750

Locations

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780686493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SAINT MARYS DR",
            "address_2": "SUITE 001 EAST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140511",
            "telephone_number": "812-485-7479",
            "fax_number": "812-485-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477500001",
            "telephone_number": "812-485-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ELIZABETH ANN SETON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GODSEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-485-7442",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN MSN"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000098108",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rori Ann Spray, ACNP
• Amy Springston, APRN
• Amy Joan Spurling, APRN BC
• Jennifer Spurrier, CSW
• Nikita Srinivas, P.T.
• Trinity St St Jean
• St Mary's Medical Center of Evansville, Inc (St Mary's Podiatry Clinic)
• St Mary's Medical Center of Evansville, Inc (Occupational Medicine Clinic)
• St Mary's Medical Group, LLC (Ascension Medical Group St. Vincent Evansville)
• St Mary's Medical Group, LLC (Ascension Medical Group St. Vincent Evansville)

• General Acute Care Hospital in Evansville, IN
• Providers in Evansville, IN by specialty
• General Acute Care Hospital 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.