WOODLAWN HOSPITAL (NPI# 1861471849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861471849 |
| Entity Type | Organization |
| Organization Name | WOODLAWN HOSPITAL |
| Other Organization Name | PEABODY RETIREMENT COMMUNITY |
| Practice Address |
400 W 7th St N Manchester IN 46962-1199 |
| Practice Telephone | 2609828616 |
| Practice Fax Number | 2609828657 |
| Mailing Telephone | 2609828616 |
| Mailing Fax Number | 2609828657 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2015-06-02 |
| Authorized Official Name | JOHN ALLEY (PRESIDENT/CEO) |
| Authorized Official Telephone | 5742233141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 050004851 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100291190A | 05 |
| Other Name | Type Code |
|---|---|
| Peabody Retirement Community | 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 |
| 1114254190 | Woodlawn Hospital | Family Medicine | 100 E Dunn Street, Fulton, IN 49631 | 2009-11-11 |
| 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 |
| 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 |
400 W 7TH ST |
| City | N MANCHESTER |
| State | IN |
| Zip Code | 46962-1199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437636404 | Webbs Family Pharmacy 3 LLC | Pharmacy | 103 N Heeter St, North Manchester, IN 46962 | 2018-07-23 |
| 1063715050 | Suzanna Hicks | Counselor | 206 North Market Street, North Manchester, IN 46962 | 2010-12-13 |
| 1447372768 | Joy Elizabeth Struble | Family Medicine | 605 N. Walnut Street, North Manchester, IN 46962 | 2007-04-06 |
| 1457395006 | Lori Jill Zimmerman | Family Medicine | 605 N Walnut Street, North Manchester, IN 46962 | 2006-06-15 |
| 1346282712 | Joel Eikenberry | Emergency Medicine | 107 South Buffalo Street, North Manchester, IN 46962 | 2006-06-12 |
| 1245290923 | Nathan D Trump | Optometrist | 1201 State Road 114 E, North Manchester, IN 46962 | 2006-03-25 |
| 1558760454 | Kevin Gullion | Specialist/Technologist | 604 E College Ave, North Manchester, IN 46962 | 2014-08-15 |
| 1093818791 | Hook Superx LLC | Pharmacy | 302 E Main St, N. Manchester, IN 46962 | 2006-09-07 |
| 1285613919 | Paul H. Fry-miller | Physician Assistant | 1104 N Wayne St, North Manchester, IN 46962-1001 | 2006-01-11 |
| 1255312187 | Russell Glendon Coulter-kern | Psychologist | 1118 N Wayne St, North Manchester, IN 46962-1001 | 2005-11-08 |
| Find all providers in zip 46962 | ||||
| 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 |
|---|---|---|---|---|
| 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 | N MANCHESTER |
| Zip Code | 46962 |
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.