St. Mary'S Health, Inc.
Organization Active NPI Rehabilitation Hospital Unit · Evansville, IN
NPI 1912005661 · NPPES record last updated Aug 28, 2023
Key facts
- NPI
- 1912005661
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital Unit 273Y00000X
- License
- 05-0050891 (IN)
- Legal business name
- ST. MARY'S HEALTH, INC.
- Practice address
- 3700 Washington Ave
Evansville, IN 47750-0001 - Phone
- (812) 485-4000
- Fax
- (812) 485-6839
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Alexander Chang
- Title
- Ceo
- Phone
- (812) 485-1509
Owners & managing parties with NPI records 1
-
Brian W Schymik, M.D.
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 23
Related certifications (CCN) 1
Facilities with the same owner 29
Practitioners 54
-
Nosher Ali, MD
-
Joseph Amos, FNP
-
Maghan C Bretz, PT
-
Leslie Rae Pike Brown, M.D.
-
James Thomas Andrew Butler, MB MRCP
-
Vivian C Cook, M.D.
-
Sara Sue Coomes, PT
-
Caroline Coughlin, APRN
-
David B Curtis, M.D.
-
Jesse Doyle, MD
-
Haley Elpers, DPT
-
Dusky Rideout Farmer, D.P.M.
-
Devon Fetters, MD
-
Robert D Ficalora, M.D.
-
John T Gallagher, M.D.
-
Kylen Matthew Gray, PT, DPT
-
Kristin Denise Hannebauer, RN, AGACNP-BC
-
Javier A Jurado, M.D.
-
Charles W Lackey, D.O.
Affiliated clinicians 4
-
Eric Brackett, MD
-
Sudheer Gurram, MD
-
Sumera Yaqub, M.D.
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- St. Vincent Evansville
- Ownership
- Non-profit
- Certified
- Jul 1, 1999
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Hospital certification: CCN 15T100
- Legal name
- ST MARYS HEALTH INC
- Doing business as
- ASCENSION ST. VINCENT EVANSVILLE
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 22, 1941 in IN
- Enrollment address
- 3700 Washington Ave
Evansville, IN 47714-0541 - Hospital subgroups
- Rehabilitation unit
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Terrence G Metzger |
Corporate Director |
Jul 1, 2022 | |
| Alexander Chang |
Corporate Officer |
Jul 1, 2022 | |
| W-2 Managing Employee |
Jul 1, 2022 | ||
| Johnathan Pope |
Corporate Director |
Jul 1, 2022 | |
| Ernest L Johnson |
Corporate Director |
Jul 1, 2014 | |
| Jonathan S Nalli |
Operational/Managerial Control |
Mar 1, 2017 | 100% |
| Tricia M Hollander-Henning |
Corporate Director |
Jul 1, 2022 | |
| Michael a Herrell |
Corporate Director |
Jul 1, 2019 | |
| James Sandgren |
Corporate Director | Mar 1, 2017 | |
| Brian Schymik |
Corporate Director |
Mar 1, 2017 | |
| Rita P Eykamp |
Corporate Director |
Jul 1, 2014 | |
| St Vincent Health Inc |
5% Or Greater Direct Ownership Interest | Oct 1, 2014 | 100% |
| Operational/Managerial Control | Oct 1, 2014 | 100% | |
| Kevin Valadares |
Corporate Director |
Jul 1, 2022 | |
| Sally G Rideout |
Corporate Director |
Oct 1, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071121000017 | IN | Part a Provider - Hospital | 9133023898 | Practice locations: Evansville, IN |
National Provider Directory
- Tax ID family
- St Marys Med Ctr
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 05-0050891 | IN | Yes |
Addresses
Primary practice location
3700 Washington Ave
Evansville, IN 47750-0001
Mailing address
3700 Washington Ave
Evansville, IN 47750-0001
Phone (812) 485-4000
Other names
- Ascension St. Vincent Evansville
- St. Vincent Evansville
Other providers in Evansville, IN
- St. Mary'S Health, Inc.
- St. Mary'S Health, Inc.
- St. Mary'S Health, Inc.
- St. Mary'S Health, Inc.
- St. Mary'S Health, Inc.
- St. Mary'S Health, Inc.
- St. Mary'S Medical Center of Evansville
- St. Mary'S Physician Network LLC.
- St. Mary'S Physicians' Health Group, LLC
- St. Mary'S Physicians' Health Group, LLC
All providers in Evansville, IN · Rehabilitation Hospital Unit in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.