St Vincent Dunn Hospital Inc

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

Legal business name

ST VINCENT DUNN HOSPITAL INC

Doing business as

Ascension St. Vincent Dunn

Practice address

1600 23Rd St
Bedford, IN 47421-4704

Phone

(812) 275-3331

Fax

(812) 276-1211

NPI assigned

Jul 6, 2011

Last updated

Aug 3, 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

Mr. Matthew D. Balla

Title

Ceo, Administrator

Phone

(812) 276-1065

Specialties & licenses 1

Addresses

Other names 1

• Ascension St. Vincent Dunn Doing business as

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1780971234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 23RD ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214704",
            "telephone_number": "812-276-1065",
            "fax_number": "812-276-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 23RD ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214704",
            "telephone_number": "812-275-3331",
            "fax_number": "812-276-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT DUNN HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "BALLA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO, ADMINISTRATOR",
        "authorized_official_telephone_number": "812-276-1065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension St. Vincent Dunn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Ira Sowders, OD
• Amy E Spires, PT
• Tricia Jayne Spoonmore, FNP-C
• St Vincent Dunn Hospital Inc
• St Vincent Dunn Hospital Inc
• St. Vincent Dunn Hospital Inc. (Ascension St. Vincent Dunn)
• St. Vincent Dunn Hospital, Inc.
• St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
• St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
• Katherine Stachowicz, DO

• Medicare Defined Swing Bed Hospital Unit in Bedford, IN
• Providers in Bedford, IN by specialty
• Medicare Defined Swing Bed Hospital Unit in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.