WITHAM MEMORIAL HOSPITAL (NPI# 1386735421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386735421 |
| Entity Type | Organization |
| Organization Name | WITHAM MEMORIAL HOSPITAL |
| Other Organization Name | BROOKVILLE HEALTHCARE CENTER |
| Practice Address |
11049 State Road 101 Brookville IN 47012-8816 |
| Mailing Address |
9480 Priority Way West Dr Indianapolis IN 46240-1470 |
| Practice Telephone | 7656472527 |
| Mailing Telephone | 3178181240 |
| Mailing Fax Number | 3178181022 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2013-07-29 |
| Authorized Official Name | STUART REED (PRESIDENT) |
| Authorized Official Telephone | 3178181240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 06-000550-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100286110A | 05 |
| Other Name | Type Code |
|---|---|
| BROOKVILLE HEALTHCARE CENTER | 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 |
11049 STATE ROAD 101 |
| City | BROOKVILLE |
| State | IN |
| Zip Code | 47012-8816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441623 | Stephanie Rene Buckler | Developmental Therapist | 15106 State Road 1, Brookville, IN 47012 | 2019-05-06 |
| 1245777994 | Forefront Dermatology, S.c. | Dermatology | 11137 U.S. 52, Brookville, IN 47012 | 2017-01-19 |
| 1386006450 | Ashley Renee Sparks | Specialist/Technologist | 8158 Pea Ridge Rd, Brookville, IN 47012 | 2016-03-28 |
| 1639448665 | Joan Suding | Registered Nurse | 12163 St Peters Road, Brookville, IN 47012 | 2011-12-20 |
| 1992856686 | Nancy B Pieper | Counselor | 11137 Us Highway 52 Ste A, Brookville, IN 47012 | 2007-01-16 |
| 1225100258 | Jacob Andrew Giesting | Dentist | 10130 Oxford Pike, Brookville, IN 47012 | 2006-11-14 |
| 1013003524 | Oxford Pediatrics & Adolescents Inc | Pediatrics | 10058 Cooley Rd, Brookville, IN 47012 | 2006-10-04 |
| 1073582730 | Fayette Memorial Hospital Association Inc. | Clinic/Center | 11137 Us Highway 52 Suite A, Brookville, IN 47012 | 2006-03-15 |
| 1629433370 | Emily Striegler | Counselor | 9127 Oxford Pike, Brookville, IN 47012 | 2015-12-23 |
| 1629449004 | Allison M. Halcomb | Nurse Practitioner | 11137 Us Highway 52 Ste A, Brookville, IN 47012 | 2015-10-12 |
| Find all providers in zip 47012 | ||||
| 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 |
|---|---|---|---|---|
| 1790758423 | Brookville Enterprise Inc. | Skilled Nursing Facility | 1 Country Ln, Brookville, OH 45309-9269 | 2006-02-13 |
| 1528055712 | Jeffco Health Services, Inc. | Skilled Nursing Facility | 417 Route 28, Brookville, PA 15825-7181 | 2005-10-03 |
| 1487655809 | Wrc Pennsylvania Memorial Home | Skilled Nursing Facility | 133 Laurelbrooke Dr, Brookville, PA 15825-2653 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618956 | Empowerme Rehabilitation Illinois, LLC | Skilled Nursing Facility | 3203 E Moores Pike, Bloomington, IN 47401-7122 | 2020-10-29 |
| 1629698808 | Decatur County Memorial Hospital | Skilled Nursing Facility | 6712 Restoracy Drive, Whitestown, IN 46075-0089 | 2020-04-17 |
| 1922586510 | Aperion Care Marion LLC | Skilled Nursing Facility | 614 W 14th St, Marion, IN 46953-2158 | 2018-08-06 |
| 1427548270 | Vibra Rehabilitation Hospital of Southern Indiana, LLC | Skilled Nursing Facility | 3104 Blackiston Boulevard, New Albany, IN 47150-9579 | 2018-05-17 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1366974404 | Mika Riddle | Skilled Nursing Facility | 407 W Walnut St, Van Buren, IN 46991 | 2017-03-29 |
| 1245787076 | Sara Steffe | Skilled Nursing Facility | 1015 Virginia St, Ferdinand, IN 47532-9285 | 2016-09-09 |
| 1770030504 | Valerie Burdette | Skilled Nursing Facility | 1872 E County Road 825 S, Oakland City, IN 47660-8911 | 2016-09-09 |
| 1205286507 | Christina Basham | Skilled Nursing Facility | 710 Bluffview Dr, Angola, IN 46703-2206 | 2016-06-16 |
| 1164878583 | Good Samaritan Hospital | Skilled Nursing Facility | 811 E. Baseline Road, Evansville, IN 47725-9340 | 2016-05-05 |
| Find all providers with the same taxonomy | ||||
| City | BROOKVILLE |
| Zip Code | 47012 |
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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.