WITHAM MEMORIAL HOSPITAL (NPI# 1306165915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306165915 |
| Entity Type | Organization |
| Organization Name | WITHAM MEMORIAL HOSPITAL |
| Other Organization Name | WHITE OAK HEALTH CAMPUS |
| Practice Address |
814 S 6th St Monticello IN 47960-8199 |
| Mailing Address |
Po Box 221648 Louisville KY 40252-1648 |
| Practice Telephone | 5745830324 |
| Practice Fax Number | 5745830325 |
| Mailing Telephone | 5024125847 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2015-04-07 |
| Authorized Official Name | MR. GEORGE POGAS (SVP OF FINANCE) |
| Authorized Official Telephone | 7654858102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201014410A | 05 |
| Other Name | Type Code |
|---|---|
| White Oak Health Campus | 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 |
| 1205153269 | Witham Memorial Hospital | Skilled Nursing Facility | 1201 E Beardsley Ave, Elkhart, IN 46514-3574 | 2010-04-29 |
| Street Address |
814 S 6TH ST |
| City | MONTICELLO |
| State | IN |
| Zip Code | 47960-8199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649522020 | Angela Nichole Frier | Occupational Therapy Assistant | 814 S 6th St, Monticello, IN 47960-8199 | 2012-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255743472 | Suzanne Reber | Pharmacist | 4901 Sr 26th E, Lafayette, IN 47960 | 2014-05-22 |
| 1588075949 | Theodore Eckerle | Social Worker | 920 West Executive Court, Monticello, IN 47960 | 2014-05-19 |
| 1598805723 | Twin Lakes School Corporation | Local Education Agency (LEA) | 565 S Main Street, Monticello, IN 47960 | 2007-02-07 |
| 1003904806 | Forest Richard Robertson II | Dentist | 515 S Illinois St, Monticello, IN 47960 | 2006-10-10 |
| 1447345889 | Linda Jean Feuquay | Counselor | 207 N. Bluff St., Monticello, IN 47960 | 2006-10-03 |
| 1548270697 | Cdc Resources Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5053 Norway Rd, Monticello, IN 47960 | 2006-08-09 |
| 1528040516 | The Eye Center Group LLC | Optometrist | 1101 O'connor Blvd, Monticello, IN 47960 | 2005-11-16 |
| 1861489254 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1120 N Main St, Monticello, IN 47960 | 2005-09-30 |
| 1467890293 | White County Community Counseling Services LLC | Counselor | 126 S Main St, Monticello, IN 47960 | 2013-06-14 |
| 1144589813 | Angelique Witlam | Physical Therapist | 906 W. Executive Court, Monticello, IN 47960 | 2012-05-15 |
| Find all providers in zip 47960 | ||||
| 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 |
|---|---|---|---|---|
| 1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
| 1407147614 | Monticello Hlth Mgmt LLC | Skilled Nursing Facility | 1780 N Jefferson Hwy, Monticello, FL 32344-5536 | 2011-04-21 |
| 1700896883 | Monticello Healthcare Center, LLC | Skilled Nursing Facility | 1052 Old Warren Rd, Monticello, AR 71655 | 2006-08-09 |
| 1366494510 | Ggnsc Monticello LLC | Skilled Nursing Facility | 1194 N Chester St, Monticello, AR 71655-4133 | 2006-05-16 |
| 1144278565 | Monticello Community Care Center LLC | Skilled Nursing Facility | 700 Jefferson St., Monticello, MS 39654-0398 | 2006-05-05 |
| 1649239492 | Monticello Nursing Home Company | Skilled Nursing Facility | 500 Pinehaven Dr, Monticello, IA 52310-2049 | 2006-03-21 |
| 1861489254 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1120 N Main St, Monticello, IN 47960 | 2005-09-30 |
| 1588657696 | Monticello-big Lake Community Hospital | Skilled Nursing Facility | 1104 E River St, Monticello, MN 55362-8762 | 2005-08-24 |
| 1679565253 | Delta Health Group Inc | Skilled Nursing Facility | 1656 S Jefferson, Monticello, FL 32344-1652 | 2005-08-18 |
| 1124029871 | Monticello Partnership Ltd | Skilled Nursing Facility | 1780 N Jefferson, Monticello, FL 32344-5536 | 2005-08-03 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 47960 |
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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.