NPI

St Vincent Randolph Hospital

Doing business as Family and Occupational Medicine of Ridgeville. NPI 1497748974

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2005-08-30
Last updated
2020-08-22

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
105 E 2nd St
City
Ridgeville IN
Postal code
47380-1325
Phone
(765) 857-2523

Organization contact

Name
Wayne Deschambeau
Title
Administrator
Phone
(765) 584-0141

Medicare

Medicare enrollment (PECOS) was not checked for this NPI on this load. The Medicare enrollment lookup checks it directly. This page does not decide enrollment.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Ridgeville, IN. 7 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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