Waterford Place Health Campus

LBN: Witham Memorial Hospital
Waterford Place Health Campus is an health care organization with primary practice located at 800 Saint Joseph Dr , Kokomo IN 46901-1983. 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) 236-1239, or through Braverman, Kelly via phone (765) 485-8100.

Contact Information

Primary practice address
800 Saint Joseph Dr Kokomo IN 46901-1983
Phone: (765) 236-1239
Fax: (765) 236-1241
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 060026671 Indiana

Profile Details

NPI number 1336225622
LBN Legal business name Witham Memorial Hospital
DBA Doing business as Waterford Place Health Campus
Authorized official Braverman, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2006
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 1336225622 NPPES
Indiana MEDICAID 200300090

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