Organization
ST. VINCENT WILLIAMSPORT HOSPITAL
Active
Other names
St. Vincent Williamsport Hospital, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA MARLATT RN, MSN (CHIEF EXECUTIVE OFFICER)
(765) 762-4000
Entity
Organization
Contact information
Practice address
412 N MONROE ST, WILLIAMSPORT, IN 47993-1049
(765) 762-4000
Mailing address
412 N MONROE ST, WILLIAMSPORT, IN 47993-1049
(765) 762-4000
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
050050921
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270250A
—
IN
Enumeration date
05/25/2006
Last updated
09/29/2020
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