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Contact Information

WITHAM MEMORIAL HOSPITAL
20 JOHN KISSINGER DR
WABASH, IN46992
 Phone: 260-274-0444
 Fax: 260-274-0181
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for WITHAM MEMORIAL HOSPITAL

NPI Number 1144564626
LBN Legal business name WITHAM MEMORIAL HOSPITAL
Authorized official KELLY BRAVERMAN - (CEO, PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2012
Last updated 03/26/2022 - About 4 years ago
Identifiers
IN Medicaid 201208210
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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