ASCENSION ST. VINCENT WARRICK
NPI 1073668273
Medicare Defined Swing Bed Unit in Boonville, IN

Active since January 25, 2007CLIA Certified · 2 labs
1116 MILLIS AVENUE, BOONVILLE, IN 47601(812) 897-4800(812) 897-7375 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 29, 2020, Jun 18, 2019, Feb 25, 2017 (3 updates tracked since 2017).

  • Organization
  • Medicare Defined Swing Bed Unit
  • CLIA Number: 15D0035547
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-02-2027

About ASCENSION ST. VINCENT WARRICK

This page provides the complete NPI Profile along with additional information for Ascension St. Vincent Warrick, a provider established in Boonville, Indiana operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1073668273 assigned on January 2007. The practitioner's primary taxonomy code is 275N00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Ascension St. Vincent Warrick. The authorized official of this NPI record is Marty P. Mattingly (Administrator)

NPI
1073668273 Verify this NPI
Provider Legal Name
ST. MARY'S WARRICK HOSPITAL, INC.
Other Organization Name
ASCENSION ST. VINCENT WARRICK
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1116 MILLIS AVENUE BOONVILLE, IN 47601
Location Phone
(812) 897-4800
Location Fax
(812) 897-7375
Mailing Address
1116 MILLIS AVE BOONVILLE, IN 47601
Mailing Phone
(812) 897-4800
Mailing Fax
(812) 897-7375
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2007
Last Update Date
06-29-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Medicare Defined Swing Bed Unit

Taxonomy Code
275N00000X
Type
Hospital Units
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARTY P. MATTINGLY

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(812) 897-7112

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1341114MEDICAID (05)KY 
I013944OTHER (01)CHAMPUS
000000054341OTHER (01)INANTHEM BLUE CROSS
032184200OTHER (01)FEDERAL BLACK LUNG
100270700MEDICAID (05)IN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D0035547
Facility Type
Hospital
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
DR. KAREN TREVINO
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Ascension St. Vincent Warrick on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for ASCENSION ST. VINCENT WARRICK

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychiatric Unit
1116 MILLIS AVENUE
BOONVILLE, IN 47601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073668273, enumerated as an "organization" on January 25, 2007.

The provider is located at 1116 MILLIS AVENUE BOONVILLE, IN 47601 and the phone number is (812) 897-4800.

Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

The provider might be accepting Accepts: Medicare, Medicaid, Tricare, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.