Organization
ST. VINCENT WILLIAMSPORT HOSPITAL
Active
Parent organization
ST. VINCENT WILLIAMSPORT HOSPITAL
Other names
Ascension St. Vincent Williamsport, St. Vincent North Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. VINCENT WILLIAMSPORT HOSPITAL
Authorized official
TRINA MARLATT RN, MSN (ADMINISTRATOR)
(765) 762-4000
Entity
Organization
Contact information
Practice address
1731 RINGER LANE, WILLIAMSPORT, IN 47993-8900
(765) 762-9000
Mailing address
1731 RINGER LANE, WILLIAMSPORT, IN 47993-8900
(765) 762-9000
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
050050921
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200370100A
—
IN
Enumeration date
06/14/2006
Last updated
02/12/2020
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