| St Vincent Randolph Hospital | |
|
900 N Columbia St Union City IN 47390-9496 | |
| (765) 964-6200 | |
| (765) 584-0551 |
| Full Name | St Vincent Randolph Hospital |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 900 N Columbia St, Union City, Indiana |
| Authorized Official Name and Position | Wayne G Deschambeau (ADMINISTRATOR) |
| Authorized Official Contact | 7655840141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Vincent Randolph Hospital Po Box 428 Winchester IN 47394-0428 Ph: (765) 964-6200 | St Vincent Randolph Hospital 900 N Columbia St Union City IN 47390-9496 Ph: (765) 964-6200 |
| NPI Number | 1821081456 |
|---|---|
| Provider Enumeration Date | 08/30/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821081456 | NPI | - | NPPES |
| 000000105460 | Other | IN | BC/BS GROUP # |
| 2281025 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
St. Vincent Physician Network, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 North Columbia Street, Union City, IN 47390 Phone: 765-964-6200 | |
Meridian Health Services Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 731 N Plum St Rm 107, Union City, IN 47390 Phone: 765-288-1928 | |
St. Vincent Physician Network, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 N Columbia St, Union City, IN 47390 Phone: 765-964-6200 | |
St. Vincent Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 W Deerfield Rd, Union City, IN 47390 Phone: 765-964-6200 |