Organization
ST. MARY'S WARRICK HOSPITAL, INC.
Active
Organization
ST. MARY'S WARRICK HOSPITAL, INC.
Active
Other names
Ascension St. Vincent Warrick, ER Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL PAROD (CEO)
(812) 485-1502
Entity
Organization
Contact information
Practice address
1116 MILLIS AVE, BOONVILLE, IN 47601-2226
(812) 897-4800
(812) 897-7375
Mailing address
1116 MILLIS AVE, BOONVILLE, IN 47601-2204
(812) 897-4800
(812) 897-7375
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
07-005111-1
IN
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
282NC0060X
Critical Access Hospital
07-005111-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054351
BLUE CROSS BLUE SHIELD
IN
01
—
032184200
FEDERAL BLACK LUNG
IN
05
—
1341114
—
KY
05
—
200043160
—
IN
01
—
I013944
CHAMPUS
IN
Enumeration date
06/13/2008
Last updated
11/10/2020
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