Organization
ST. MARYS WARRICK HOSPITAL, INC.
Active
Organization
ST. MARYS WARRICK HOSPITAL, INC.
Active
Other names
St. Vincent Warrick, Ascension St. Vincent Warrick
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY P MATTINGLY (ADMINISTRATOR)
(812) 897-7112
Entity
Organization
Contact information
Practice address
1116 MILLIS AVENUE, BOONVILLE, IN 47601
(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
273R00000X
Psychiatric Hospital Unit
Primary
—
IN
273R00000X
Psychiatric Hospital Unit
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032184200
FEDERAL BLACK LUNG
—
05
—
100270700
—
IN
05
—
1341114
—
KY
01
—
I013944
CHAMPUS
—
Enumeration date
01/24/2007
Last updated
06/29/2020
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