Organization
ST. VINCENT RANDOLPH HOSPITAL, INC.
Active
Other names
Ascension St. Vincent Randolph
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY YOUNG (INTERIM ADMINISTRATOR)
(765) 584-0107
Entity
Organization
Contact information
Practice address
473 E GREENVILLE AVE, WINCHESTER, IN 47394-9436
(765) 584-0004
Mailing address
473 E GREENVILLE AVE, WINCHESTER, IN 47394-9436
(765) 584-0004
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
050050501
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200307450
—
IN
05
—
200321460A
—
IN
Enumeration date
05/11/2006
Last updated
08/03/2020
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