WOODLAWN HOSPITAL (NPI# 1114254190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114254190 |
| Entity Type | Organization |
| Organization Name | WOODLAWN HOSPITAL |
| Other Organization Name | FULTON COUNTY MEDICAL CLINIC |
| Practice Address |
100 E Dunn Street Fulton IN 49631 |
| Mailing Address |
1400 E 9th St Rochester IN 46975-8931 |
| Practice Telephone | 5748575995 |
| Practice Fax Number | 5742235847 |
| Mailing Telephone | 5742333141 |
| Mailing Fax Number | 5742235847 |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2019-03-20 |
| Authorized Official Name | JOHN KRAFT (CFO) |
| Authorized Official Telephone | 5742241118 |
| Is Organization Subpart | Y |
| Parent Organization Name | WOODLAWN HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100269770D | 05 |
| Other Name | Type Code |
|---|---|
| Fulton County Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174186894 | Woodlawn Hospital | Clinic/Center | 100 E Dunn St, Fulton, IN 46931 | 2019-04-18 |
| 1710540695 | Woodlawn Hospital | Clinic/Center | 105 N Sr 14, Akron, IN 46910 | 2019-04-17 |
| 1326180803 | Woodlawn Hospital | Skilled Nursing Facility | 3136 Goeglein Rd, Fort Wayne, IN 46815-6685 | 2007-02-13 |
| 1356405526 | Woodlawn Hospital | Durable Medical Equipment & Medical Supplies | 2310 E State Road 14, Rochester, IN 46975 | 2006-12-21 |
| 1043382625 | Woodlawn Hospital | Nurse Practitioner | 105 St Rd 14 N, Akron, IN 46910 | 2006-11-15 |
| 1639241227 | Woodlawn Hospital | Family Medicine | 530 N Michigan, Argos, IN 46501 | 2006-11-15 |
| 1285723734 | Woodlawn Hospital | Assisted Living Facility | 337 Grace Village Dr, Winona Lake, IN 46590-5774 | 2006-10-12 |
| 1073557617 | Woodlawn Hospital | Assisted Living Facility | 2201 East St, North Manchester, IN 46962-9654 | 2006-06-15 |
| 1235113945 | Woodlawn Hospital | Skilled Nursing Facility | 221 W Division St, Demotte, IN 46310-9566 | 2005-12-06 |
| 1982686242 | Woodlawn Hospital | Skilled Nursing Facility | 9601 Union Rd, Plymouth, IN 46563 | 2005-11-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WOODLAWN HOSPITALITY GROUP LLC | 6719 Ne 18th Ave, Portland, OR 97211 |
| System for Award Management (SAM) Entities | WOODLAWN HOSPITALITY, LLC | 8632 Woodlawn Ct, Alexandria, VA 22309 |
| Street Address |
100 E DUNN STREET |
| City | FULTON |
| State | IN |
| Zip Code | 49631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144458357 | Kathleen Marie Hylton | Licensed Practical Nurse | 319 S Hemlock St, Evart, MI 49631 | 2009-06-25 |
| 1285735241 | Peter A Tomshack | Pharmacist | 107 North Main, Evart, MI 49631 | 2006-09-25 |
| 1255518841 | Hinkley Drug Store | Pharmacy | 107 N Main, Evart, MI 49631 | 2008-01-25 |
| 1740469394 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 107 North Main, Evart, MI 49631 | 2007-10-31 |
| 1750456141 | Rodney Edwin Drouse | Chiropractor | 210 N Main St, Evart, MI 49631 | 2006-11-21 |
| 1649369406 | Douglas John Kane | Dentist | 122 N Main St, Evart, MI 49631 | 2006-10-12 |
| 1659479335 | Holihans Drug Store | Pharmacist | 128 N Main St, Evart, MI 49631 | 2006-09-20 |
| 1932154457 | Midmichigan Medical Center - Clare | Nurse Practitioner | 220 N Main St, Evart, MI 49631 | 2006-05-23 |
| 1467565051 | Karen E. Flachs | Dentist | 120 N. Pine, Evart, MI 49631-0842 | 2006-08-16 |
| 1649387317 | Mary Ann Dahlgren | Chiropractor | Pob 878 620 W Us 10, Evart, MI 49631-0878 | 2006-08-25 |
| Find all providers in zip 49631 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225536915 | Doctor K LLC | Family Medicine | 11603 Pindell Woods Dr, Fulton, MD 20759-9752 | 2018-01-27 |
| 1972027464 | Curators of The University of Missouri | Family Medicine | 2613 Fairway Dr Ste C, Fulton, MO 65251-3789 | 2017-07-27 |
| 1922458454 | Benjamin Newell Crary | Family Medicine | 110 N Hosital Dr, Fulton, MO 65251 | 2016-06-15 |
| 1568843332 | Jordan Webster Steele | Family Medicine | 384 Mount Pisgah Road, Fulton, MS 38843 | 2015-06-17 |
| 1588045488 | Michael Miller | Family Medicine | 510 S 4th St Ste 600, Fulton, NY 13069-2904 | 2015-06-16 |
| 1144388729 | Loretta Sutphin Stenzel | Family Medicine | 8115 Maple Lawn Blvd Ste 140, Fulton, MD 20759 | 2006-12-05 |
| 1265505598 | Fulton County Medical Clinic PC | Family Medicine | 100 East Dunn St, Fulton, IN 46931 | 2006-11-16 |
| 1174606941 | Michael George Howell | Family Medicine | 204 Wheeler Dr, Fulton, MS 38843-8900 | 2006-10-23 |
| 1255341491 | Richard Perez Doisy | Family Medicine | 600 E 5th Street, Fulton State Hospital, Fulton, MO 65251 | 2006-08-09 |
| 1124054556 | Rezwan Islam | Family Medicine | 850 N Hospital Dr, Ste D, Fulton, MO 65251-2535 | 2006-06-25 |
| Find all providers in FULTON | ||||
Please comment or provide details below to improve the information on WOODLAWN HOSPITAL.
| 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.