ST. VINCENT SOUTH CLINIC
NPI 1730136458
Clinic/Center - Critical Access Hospital in Veedersburg, IN

Active since May 28, 2006CLIA 15D0720096 · Waiver
440 W SONGER LN, VEEDERSBURG, IN 47987(765) 294-2486 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2020, Jun 17, 2019 (2 updates tracked since 2019).

About St. Vincent South Clinic NPPES

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

ST. VINCENT SOUTH CLINIC (NPI 1730136458), doing business as Ascension St. Vincent Williamsport, is a healthcare organization registered as a critical access hospital in Veedersburg, Indiana and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Trina Marlatt, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730136458
Entity TypeOrganization
Primary Taxonomy261QC0050X
Legal Business NameST. VINCENT WILLIAMSPORT HOSPITAL
Location Address440 W SONGER LNVeedersburg, IN 47987-8547
Mailing Address440 W Songer LnVeedersburg, IN 47987-8547 · (765) 294-2486
Organization SubpartYes
Authorized OfficialTrina MarlattAdministrator · (765) 762-4000
Enumeration DateMay 28, 2006
Last NPPES UpdateFebruary 12, 20202 updates tracked since enumeration
NPI 1730136458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Critical Access HospitalAmbulatory Health Care Facilities
Taxonomy Code261QC0050X
License Licensed in IN · 050050921
Definition
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
440 W SONGER LN, Veedersburg, IN 47987

Other Names 2

Other NameSt. Vincent South Clinic
Doing Business AsAscension St. Vincent Williamsport

Other Identifiers 1

Medicaid200307100BIN

Accepted Insurance

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 15D0720096

St Vincent South Clinic · Veedersburg, IN
Active · expires Apr 30, 2028
CLIA Number15D0720096
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorTahir Hafeez
Laboratory Phone(765) 294-2486
Laboratory LocationSt Vincent South Clinic440 W Songer Ln, Veedersburg, IN 47987
CLIA data matches this NPI record on: Address 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.

Nurse Practitioner (Family)
440 W SONGER LN
VEEDERSBURG, IN 47987
Pediatrics
440 W SONGER LN
VEEDERSBURG, IN 47987
Nurse Practitioner (Family)
440 W SONGER LN
VEEDERSBURG, IN 47987
Family Medicine
440 W SONGER LN
VEEDERSBURG, IN 47987
Preventive Medicine (Occupational Medicine)
440 W SONGER LN
VEEDERSBURG, IN 47987
Family Medicine
440 W SONGER LN
VEEDERSBURG, IN 47987
Nurse Practitioner (Family)
440 W SONGER LN
VEEDERSBURG, IN 47987
Family Medicine
440 W SONGER LN
VEEDERSBURG, IN 47987

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 Williamsport Hospital's NPI number?

The NPI number for St. Vincent Williamsport Hospital is 1730136458. It was assigned to this organization in the NPPES registry on May 28, 2006. The provider is doing business as Ascension St. Vincent Williamsport. The provider is also known as St. Vincent South Clinic.

Where is St. Vincent Williamsport Hospital located?

St. Vincent Williamsport Hospital is located at 440 W Songer Ln, Veedersburg, IN 47987. The listed phone number is (765) 294-2486.

What is St. Vincent Williamsport Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Critical Access Hospital, with taxonomy code 261QC0050X.

Does St. Vincent Williamsport Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0720096) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St. Vincent Williamsport Hospital accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list St. Vincent Williamsport Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. Vincent Williamsport Hospital was last updated on February 12, 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.