# ST. VINCENT ANDERSON REGIONAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ascension St. Vincent Anderson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679578850
- **Authorized official:** BECKY JACOBSON (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (317) 582-7219

## Contact information

- **Practice address:** 2015 JACKSON ST, ANDERSON, IN 46016-4337
- **Practice address phone:** (765) 646-8243
- **Practice address fax:** (765) 646-8655
- **Mailing address:** 2015 JACKSON ST, ANDERSON, IN 46016-4337
- **Mailing address phone:** (765) 646-8243
- **Mailing address fax:** (765) 646-8655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 273R00000X | Psychiatric Hospital Unit | — | — | — |
| 282N00000X | General Acute Care Hospital | 050050781 | IN | Yes |
| 332S00000X | Hearing Aid Equipment | — | — | — |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 06/29/2020

## 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 |