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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: August 09, 2026.

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

About Ascension St. Vincent Warrick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASCENSION ST. VINCENT WARRICK (NPI 1073668273) is a healthcare organization registered as a medicare defined swing bed unit in Boonville, Indiana and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Marty P. Mattingly, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073668273
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameST. MARY'S WARRICK HOSPITAL, INC.
Location Address1116 MILLIS AVENUEBoonville, IN 47601
Mailing Address1116 Millis AveBoonville, IN 47601-2204 · (812) 897-4800 · Fax (812) 897-7375
Phone(812) 897-4800
Fax(812) 897-7375
Organization SubpartNo
Authorized OfficialMarty P. MattinglyAdministrator · (812) 897-7112
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJune 29, 20203 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
✔ NPI 1073668273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
Definition
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.
1116 MILLIS AVENUE, Boonville, IN 47601
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Other Names 2

Doing Business AsAscension St. Vincent Warrick
Doing Business AsSt. Vincent Warrick

Other Identifiers 5

Medicaid1341114KY
OtherI013944Champus
Other000000054341IN · Anthem Blue Cross
Other032184200Federal Black Lung
Medicaid100270700IN

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 15D0035547

Ascension St Vincent Warrick · Boonville, IN
Active · expires Jan 2, 2027
CLIA Number15D0035547
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Karen Trevino
Laboratory Phone(812) 897-7161
Laboratory LocationAscension St Vincent Warrick1116 Millis Avenue, Boonville, IN 47601
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 15D2314105

Ascension St Vincent Warrick Medication Management Clinic · Boonville, IN
Active · expires Nov 12, 2026
CLIA Number15D2314105
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorChristopher M. Neely
Laboratory Phone(812) 485-1805
Laboratory LocationAscension St Vincent Warrick Medication Management Clinic1116 Millis Ave, Boonville, IN 47601
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. MARYS WARRICK HOSPITAL, INC.
Psychiatric Unit
1116 MILLIS AVENUE
BOONVILLE, IN 47601
Warrick County (812) 897-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Mary's Warrick Hospital, Inc.'s NPI number?

The NPI number for St. Mary's Warrick Hospital, Inc. is 1073668273. It was assigned to this organization in the NPPES registry on January 25, 2007. The provider is doing business as Ascension St. Vincent Warrick and St. Vincent Warrick.

Where is St. Mary's Warrick Hospital, Inc. located?

St. Mary's Warrick Hospital, Inc. is located at 1116 Millis Avenue, Boonville, IN 47601. The listed phone number is (812) 897-4800.

What is St. Mary's Warrick Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Does St. Mary's Warrick Hospital, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for St. Mary's Warrick Hospital, Inc. was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.