St. Mary Healthcare Center

LBN: Witham Memorial Hospital
St. Mary Healthcare Center is an health care organization with primary practice located at 2201 Cason St , Lafayette IN 47904-2613. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Witham Memorial Hospital can be contacted via phone (765) 447-4102, or through Braverman, Kelly via phone (765) 485-8100.

Contact Information

Primary practice address
2201 Cason St Lafayette IN 47904-2613
Phone: (765) 447-4102
Fax: (765) 447-7386
Website:
Map and Directions
Authorized official contact:
Name: Braverman, Kelly
Phone: (765) 485-8100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 08-000037-1 Indiana

Profile Details

NPI number 1174768618
LBN Legal business name Witham Memorial Hospital
DBA Doing business as St. Mary Healthcare Center
Authorized official Braverman, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2008
Last updated Mar 26th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174768618 NPPES
Indiana MEDICAID 100291350

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