| Organization Name: | ST. VINCENT CLAY HOSPITAL, INC. |
| NPI Number: | 1467525634 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JERRY LAUE (ADMINISTRATOR) |
| Mailing Address: | 1206 E National Ave Brazil |
| State: | IN US |
| Postal Code: | 478342718 |
| Phone Number: | 8124422500 |
| Fax Number: | 8124422605 |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 05/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 060050461 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |