National Provider Identifier Database

ST VINCENT RANDOLPH HOSPITAL
Rural Health


Contact Information

ST VINCENT RANDOLPH HOSPITAL
900 N COLUMBIA ST
UNION CITY, IN47390-9496
Phone: 765-964-6200
Fax: 765-584-0551
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for ST VINCENT RANDOLPH HOSPITAL

NPI Number 1821081456
Legal business name
LBN
ST VINCENT RANDOLPH HOSPITAL
Authorized official WAYNE DESCHAMBEAU - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 08/30/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 2281025
  • IN Other: 000000105460 BC/BS GROUP #

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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