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Contact Information

WITHAM MEMORIAL HOSPITAL
2705 N LEBANON ST
LEBANON, IN46052-8621
 Phone: 765-485-8390
 Fax: 765-485-8399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WITHAM MEMORIAL HOSPITAL

NPI Number 1801204201
LBN Legal business name WITHAM MEMORIAL HOSPITAL
Authorized official AARON LEE - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2014
Last updated 04/20/2021 - About 5 years ago
Identifiers
IN License # 60000062A
IN Medicaid 100269130A
Other 2147057 PK
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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