Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Vincent Anderson Regional Hospital, Inc

Organization Emergency Medicine Physician · NPI 1679578850

St Vincent Anderson Regional Hospital, Inc is an Emergency Medicine Physician in Anderson, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2015 Jackson St
Anderson, IN 46016-4337
Phone: (765) 646-8243
Fax: (765) 646-8655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 050050781 (IN)
Emergency Medicine Physician Taxonomy 207P00000X
Psychiatric Hospital Unit Taxonomy 273R00000X
Hearing Aid Equipment Taxonomy 332S00000X

Record details

NPI number1679578850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Becky Jacobson — Vice President Of Finance · (317) 582-7219
Other names Ascension St. Vincent Anderson
NPI enumeratedJune 15, 2005
Last updated in NPPESJune 29, 2020
Certification dateJune 29, 2020
Mailing address2015 Jackson St, Anderson, IN 46016-4337

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