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ST. VINCENT CLAY HOSPITAL INC NPI 1770533994


NPI Information

NPI: 1770533994
Provider Name: ST. VINCENT CLAY HOSPITAL, INC
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
1206 E NATIONAL AVE
BRAZIL, IN
ZIP 47834
Phone: (812) 442-2500
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ST. VINCENT CLAY HOSPITAL, INC is a critical access general acute care hospital in Brazil, IN. ST. VINCENT CLAY HOSPITAL, INC NPI is 1770533994. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1206 E NATIONAL AVE
BRAZIL, IN
ZIP 47834-718
Phone: (812) 442-2500

The provider's authorized official is Jerry Laue .
The authorized official title is Administrator and has the following contact phone number (812) 442-2602.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 4/1/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2363LF0000XNurse PractitionerFamilyNo
3207P00000XEmergency MedicineNo
4207Q00000XFamily MedicineNo
5261Q00000XClinic/Center060050461INDIANANo
6282NC0060XGeneral Acute Care HospitalCritical Access060050461INDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200348850AMEDICAIDINDIANA
2200107350MEDICAIDINDIANA
3151309MEDICARE OSCAR/CERTIFICATIONINDIANA
4940140MEDICARE PININDIANA

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: 4/28/2024

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.