Woodbridge Health Campus

LBN: Witham Memorial Hospital
Woodbridge Health Campus is an health care organization with primary practice located at 602 Woodbridge Ave , Logansport IN 46947-1661. 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 (574) 753-3223, or through Braverman, Kelly via phone (765) 485-8100.

Contact Information

Primary practice address
602 Woodbridge Ave Logansport IN 46947-1661
Phone: (574) 753-3223
Fax: (574) 753-3226
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 06-003691-1 Indiana

Profile Details

NPI number 1639203532
LBN Legal business name Witham Memorial Hospital
DBA Doing business as Woodbridge Health Campus
Authorized official Braverman, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
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 1639203532 NPPES
Indiana MEDICAID 200456230

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