ST. VINCENT SOUTH CLINIC
NPI 1730136458
Clinic/Center - Critical Access Hospital in Veedersburg, IN
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
Specialties & Licenses
Other Names 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Vincent South Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to St. Vincent South Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (19)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, INFrequently 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.
Is St. Vincent Williamsport Hospital enrolled in Medicare?
Yes. St. Vincent Williamsport Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St. Vincent Williamsport Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 7 Medicare specialties reassign their Medicare billing to St. Vincent Williamsport Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Certified Registered Nurse Anesthetist (CRNA) (3) and Family Practice (3). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, Anthem Blue Cross and Blue Shield 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.
# St. Vincent South Clinic · NPI 1730136458
Critical Access Hospital organization in Veedersburg, Indiana. Organization record, active in the CMS NPPES registry since May 28, 2006.
## Identity
- **NPI:** 1730136458 (Entity type: Organization)
- **Enumerated:** May 28, 2006
- **Primary specialty:** Clinic/Center - Critical Access Hospital · taxonomy 261QC0050X
- **Legal business name:** St. Vincent Williamsport Hospital
- **Also known as:** Ascension St. Vincent Williamsport (Doing Business As)
- **Organization subpart:** Yes (part of St. Vincent Williamsport Hospital)
- **Authorized official:** Trina Marlatt, ADMINISTRATOR
## Practice location
- **Address:** 440 W SONGER LN, Veedersburg, IN 47987-8547
- **Phone:** (765) 294-2486
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Certified Registered Nurse Anesthetist (CRNA) (3), Family Practice (3); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2020
- **Other identifiers:** Medicaid 200307100B (IN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730136458) · Data from the CMS NPPES public registry.