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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 Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for ST VINCENT RANDOLPH HOSPITAL

NPI Number 1821081456
LBN Legal business name ST VINCENT RANDOLPH HOSPITAL
Authorized official WAYNE DESCHAMBEAU - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
IN Medicaid 2281025
IN Other 000000105460 BC/BS GROUP #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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