WITHAM MEMORIAL HOSPITAL (NPI# 1083781330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083781330 |
| Entity Type | Organization |
| Organization Name | WITHAM MEMORIAL HOSPITAL |
| Other Organization Name | LIBERTY VILLAGE |
| Practice Address |
4600 E Jackson St Muncie IN 47303-4467 |
| Mailing Address |
9455 Delegates Row Indianapolis IN 46240-3805 |
| Practice Telephone | 7652821416 |
| Practice Fax Number | 7652897190 |
| Mailing Telephone | 3178181240 |
| Mailing Fax Number | 3178181022 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2012-04-10 |
| Authorized Official Name | DR. RAYMOND INGHAM (PRESIDENT, CEO) |
| Authorized Official Telephone | 7654858100 |
| Authorized Official Credential | PH D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 11-111269-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100267720B | 05 |
| Other Name | Type Code |
|---|---|
| LIBERTY VILLAGE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902298557 | Witham Memorial Hospital | Pharmacy | 2705 N Lebanon St Ste 100, Lebanon, IN 46052-8621 | 2015-02-19 |
| 1194115386 | Witham Memorial Hospital | Skilled Nursing Facility | 12315 N Pennsylvania St, Carmel, IN 46032-6600 | 2015-01-27 |
| 1366843716 | Witham Memorial Hospital | Skilled Nursing Facility | 2402 South St, Lafayette, IN 47904-3063 | 2014-09-04 |
| 1942639695 | Witham Memorial Hospital | Skilled Nursing Facility | 2200 S Dixon Rd, Kokomo, IN 46902-6410 | 2013-11-04 |
| 1972939361 | Witham Memorial Hospital | Skilled Nursing Facility | 8405 Clearvista Pl, Indianapolis, IN 46256-3737 | 2013-09-18 |
| 1396171781 | Witham Memorial Hospital | Skilled Nursing Facility | 1635 N Arlington Ave, Indianapolis, IN 46218-5181 | 2013-09-18 |
| 1124360367 | Witham Memorial Hospital | Skilled Nursing Facility | 1 Silvercrest Dr, New Albany, IN 47150-7800 | 2013-03-26 |
| 1144564626 | Witham Memorial Hospital | Skilled Nursing Facility | 20 John Kissinger Dr, Wabash, IN 46992 | 2012-11-21 |
| 1366748386 | Witham Memorial Hospital | Skilled Nursing Facility | 269 Meadowview Dr, Peru, IN 46970-8996 | 2011-02-09 |
| 1306165915 | Witham Memorial Hospital | Skilled Nursing Facility | 814 S 6th St, Monticello, IN 47960-8199 | 2010-05-21 |
| Street Address |
4600 E JACKSON ST |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303-4467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740466770 | Witham Memorial Hospital | Skilled Nursing Facility | 4600 E Jackson St, Muncie, IN 47303-4467 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
| Find all providers in zip 47303 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326223264 | Hancock Regional Hospital | Skilled Nursing Facility | 4100 N Morrison Rd, Muncie, IN 47304-6043 | 2008-01-09 |
| 1215009907 | Indiana Health & Rehabilitation Center | Skilled Nursing Facility | 2200 W White River Blvd, Muncie, IN 47303-5242 | 2006-11-15 |
| 1609981372 | Witham Memorial Hospital | Skilled Nursing Facility | 7524 E Jackson St, Muncie, IN 47302-9273 | 2006-08-20 |
| 1003853557 | Henry County Memorial Hospital | Skilled Nursing Facility | 2400 Chateau Dr, Muncie, IN 47303-1900 | 2006-06-01 |
| 1780631838 | Beverly Healthcare, LLC | Skilled Nursing Facility | 2701 N Lyn Mar Dr, Muncie, IN 47304-5416 | 2006-05-27 |
| 1528015641 | Hendricks County Hospital | Skilled Nursing Facility | 3820 W Jackson St, Muncie, IN 47304-3605 | 2006-05-27 |
| 1427003441 | Westminster Village Muncie, Inc | Skilled Nursing Facility | 5801 W Bethel Ave, Muncie, IN 47304-9549 | 2006-05-24 |
| 1851835037 | Dycora Transitional Health - Muncie LLC | Skilled Nursing Facility | 2701 N Lyn Mar Dr, Muncie, IN 47304-5416 | 2016-12-07 |
| 1801137948 | Jackson County Schneck Memorial Hospital | Skilled Nursing Facility | 4301 N Walnut St, Muncie, IN 47303-1190 | 2013-03-14 |
| 1265789036 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2200 W White River Blvd, Muncie, IN 47303 | 2012-08-10 |
| Find all providers in MUNCIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.