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Organization
ST VINCENT RANDOLPH HOSPITAL
Active
Organization
ST VINCENT RANDOLPH HOSPITAL
Active
Other names
Family Health Center of Wincheter
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE G DESCHAMBEAU (ADMINISTRATOR)
(765) 584-0141
Entity
Organization
Contact information
Practice address
409 E GREENVILLE AVE, WINCHESTER, IN 47394-9436
(765) 584-0480
(765) 584-0551
Mailing address
PO BOX 428, WINCHESTER, IN 47394-0428
(765) 584-0480
(765) 584-0551
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/30/2005
Last updated
08/22/2020
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