Organization
VINCENNES UNIVERSITY
Active
Other names
Generations
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE N JACOBY (DIRECTOR)
(800) 742-9002
Entity
Organization
Contact information
Practice address
1019 N 4TH ST, VINCENNES, IN 47591-2355
(812) 888-5880
(812) 888-4566
Mailing address
1019 N 4TH ST, PO BOX 314, VINCENNES, IN 47591-2355
(812) 888-5880
(812) 888-4566
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107960A
—
IN
05
—
200344680
—
IN
Enumeration date
05/22/2006
Last updated
06/16/2008
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