FAMILY AND OCCUPATIONAL MEDICINE OF RIDGEVILLE
NPI 1497748974
Clinic/Center - Rural Health in Ridgeville, IN

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

The NPI number for St Vincent Randolph Hospital is 1497748974. It was assigned to this organization in the NPPES registry on August 30, 2005. The provider is doing business as Family And Occupational Medicine Of Ridgeville.

Q: What is St Vincent Randolph Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since August 30, 2005

105 E 2ND ST, RIDGEVILLE, IN 47380(765) 857-2523(765) 584-0551 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Family And Occupational Medicine Of Ridgeville NPPES

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

FAMILY AND OCCUPATIONAL MEDICINE OF RIDGEVILLE (NPI 1497748974) is a healthcare organization registered as a rural health in Ridgeville, Indiana and active in the NPI registry since August 2005. The organization lists Wayne G Deschambeau, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497748974

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameST VINCENT RANDOLPH HOSPITAL

Location Address105 E 2ND STRidgeville, IN 47380-1325

Mailing AddressPo Box 428Winchester, IN 47394-0428 · (765) 857-2523 · Fax (765) 584-0551

Phone(765) 857-2523

Fax(765) 584-0551

Organization SubpartNo

Authorized OfficialWayne G DeschambeauAdministrator · (765) 584-0141

Enumeration DateAugust 30, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1497748974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

105 E 2ND ST, Ridgeville, IN 47380

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Other Names 1

Doing Business AsFamily And Occupational Medicine Of Ridgeville

Other Identifiers 2

Medicaid2281123IN

Other000000105462IN · Bc/bs Group #

Other Providers at the Same Location NPPES 2

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

ST. VINCENT PHYSICIAN NETWORK, LLC

Clinic/Center (Primary Care)

105 E 2ND ST
RIDGEVILLE, IN 47380

Randolph County (765) 857-2523

REID PHYSICIAN ASSOCIATES, INC.

Family Medicine

105 E 2ND ST
RIDGEVILLE, IN 47380

Randolph County (765) 857-2523

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 Vincent Randolph Hospital's NPI number?

The NPI number for St Vincent Randolph Hospital is 1497748974. It was assigned to this organization in the NPPES registry on August 30, 2005. The provider is doing business as Family And Occupational Medicine Of Ridgeville.

Where is St Vincent Randolph Hospital located?

St Vincent Randolph Hospital is located at 105 E 2nd St, Ridgeville, IN 47380. The listed phone number is (765) 857-2523.

What is St Vincent Randolph Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for St Vincent Randolph Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.