OrganizationActive
St Vincent Randolph Hospital
NPI 1497748974 · Rural Health Clinic/Center · Ridgeville, IN
Provider details
- NPI number
- 1497748974
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wayne Deschambeau, Administrator(765) 584-0141
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 E 2nd St
Ridgeville, IN 47380-1325
Phone: (765) 857-2523
Fax: (765) 584-0551
Street-level locationGet directions
Mailing address
Po Box 428
Winchester, IN 47394-0428
Other names (DBA / former)
- Doing business as
- Family and Occupational Medicine of Ridgeville
Registry dates
- Enumerated
- 2005-08-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.