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ST. MARY'S WARRICK HOSPITAL INC. NPI 1073668273


NPI Information

NPI: 1073668273
Provider Name: ST. MARY'S WARRICK HOSPITAL, INC.

Doing Business As: ASCENSION ST. VINCENT WARRICK

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
1116 MILLIS AVENUE
BOONVILLE, IN
ZIP 47601
Phone: (812) 897-4800
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ST. MARY'S WARRICK HOSPITAL, INC. is a medicare defined swing bed unit in Boonville, IN. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. ST. MARY'S WARRICK HOSPITAL, INC. NPI is 1073668273. The provider is registered as an organization entity type.
The provider Is Doing Business As Ascension St. Vincent Warrick.

The provider's business location address is:

1116 MILLIS AVENUE
BOONVILLE, IN
ZIP 47601
Phone: (812) 897-4800
Fax: (812) 897-7375

The provider's authorized official is Marty P. Mattingly .
The authorized official title is Administrator and has the following contact phone number (812) 897-7112.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 6/29/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed UnitYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11341114MEDICAIDKENTUCKY
2I013944OTHERCHAMPUS
3000000054341OTHERINDIANAANTHEM BLUE CROSS
4032184200OTHERFEDERAL BLACK LUNG
5100270700MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.