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Contact Information

WHITLEY MEMORIAL HOSPITAL, INC.
1250 E STATE ROAD 205
COLUMBIA CITY, IN46725
 Phone: 260-248-9302
 Fax: 260-248-9107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for WHITLEY MEMORIAL HOSPITAL, INC.

NPI Number 1497764450
LBN Legal business name WHITLEY MEMORIAL HOSPITAL, INC.
Authorized official STANTON RISSER - (ACFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/07/2006
Last updated 10/31/2024 - More than a year ago
Identifiers
IN License # 0091
IN Medicaid 100453960A
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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