ASCENSION ST. VINCENT WILLIAMSPORT - NPI 1396407565 - Preventive Medicine in Veedersburg, IN

Q: What is St. Vincent Williamsport Hospital's NPI number?

The NPI number for St. Vincent Williamsport Hospital is 1396407565. It was assigned to this organization in the NPPES registry on October 6, 2021. The provider is doing business as Ascension St. Vincent Williamsport. The provider is also known as St. Vincent South Clinic.

Q: What is St. Vincent Williamsport Hospital's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

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About Ascension St. Vincent Williamsport NPPES

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

ASCENSION ST. VINCENT WILLIAMSPORT (NPI 1396407565) is a healthcare organization registered as an occupational medicine in Veedersburg, Indiana and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists Trina Marlatt, Administrator, as its authorized official.

NPPES Registry Identity

NPI1396407565

Entity TypeOrganization

Primary Taxonomy2083X0100X

Legal Business NameST. VINCENT WILLIAMSPORT HOSPITAL

Location Address440 W SONGER LNVeedersburg, IN 47987-8547

Mailing Address440 W Songer LnVeedersburg, IN 47987-8547

Phone(765) 762-4180

Organization SubpartNo

Authorized OfficialTrina MarlattAdministrator · (765) 762-4000

Enumeration DateOctober 6, 2021

NPPES CertifiedOctober 6, 2021

✔ NPI 1396407565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083X0100X

Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

440 W SONGER LN, Veedersburg, IN 47987

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Other Names 2

Doing Business AsAscension St. Vincent Williamsport

Other NameSt. Vincent South Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 Waiver 15D2079492

St Vincent Williamsport Hospital · Williamsport, IN

Active · expires Jun 16, 2028

CLIA Number15D2079492

Laboratory TypeHospital

Certificate Effective DateJune 17, 2026

Certificate Expiration DateJune 16, 2028

Laboratory DirectorDr. Melanie Craigin

Laboratory Phone(765) 762-4000

Laboratory LocationSt Vincent Williamsport Hospital412 N Monroe St, Williamsport, IN 47993

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

DANYEL SCHMIT

Nurse Practitioner (Family)