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Organization
ST. VINCENT ANDERSON REGIONAL HOSPITAL, INC.
Active
Organization
ST. VINCENT ANDERSON REGIONAL HOSPITAL, INC.
Active
Other names
Ascension St. Vincent Anderson
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY JACOBSON (VICE PRESIDENT OF FINANCE)
(317) 582-7219
Entity
Organization
Contact information
Practice address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 646-8243
(765) 646-8655
Mailing address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 646-8243
(765) 646-8655
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
273R00000X
Psychiatric Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
050050781
IN
332S00000X
Hearing Aid Equipment
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244149
ANTHEM HOME HEALTH PIN
IN
01
—
000000244683
ANTHEM PROVIDER NUMBER
IN
05
—
200408600Q
—
IN
05
—
200408600R
—
IN
05
—
200409060
—
IN
01
—
CK6867
MEDICARE PIN OTHER ID
IN
Enumeration date
06/15/2005
Last updated
06/29/2020
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