| St. Vincent Anderson Regional Hospital, Inc. | |
|
2015 Jackson St Anderson IN 46016-4337 | |
| (765) 646-8243 | |
| (765) 646-8655 |
| Full Name | St. Vincent Anderson Regional Hospital, Inc. |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 2015 Jackson St, Anderson, Indiana |
| Authorized Official Name and Position | Becky Jacobson (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 3175827219 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent Anderson Regional Hospital, Inc. 2015 Jackson St Anderson IN 46016-4337 Ph: (765) 646-8243 | St. Vincent Anderson Regional Hospital, Inc. 2015 Jackson St Anderson IN 46016-4337 Ph: (765) 646-8243 |
| NPI Number | 1679578850 |
|---|---|
| Provider Enumeration Date | 06/15/2005 |
| Last Update Date | 06/29/2020 |
| Certification Date | 06/29/2020 |
| Medicare PECOS PAC ID | 5890949622 |
|---|---|
| Medicare Enrollment ID | O20130204000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679578850 | NPI | - | NPPES |
| 200408600R | Medicaid | IN | |
| 200409060 | Medicaid | IN | |
| 000000244149 | Other | IN | ANTHEM HOME HEALTH PIN |
| 200408600Q | Medicaid | IN | |
| CK6867 | Other | IN | MEDICARE PIN OTHER ID |
| 000000244683 | Other | IN | ANTHEM PROVIDER NUMBER |
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