WITHAM MEMORIAL HOSPITAL (NPI# 1942372511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942372511 |
| Entity Type | Organization |
| Organization Name | WITHAM MEMORIAL HOSPITAL |
| Other Organization Name | VERMILLION CONVALESCENT CENTER |
| Practice Address |
1705 S Main St Clinton IN 47842-2524 |
| Mailing Address |
9480 Priority Way West Dr Indianapolis IN 46240-1470 |
| Practice Telephone | 7658323573 |
| Practice Fax Number | 7658323420 |
| Mailing Telephone | 3178181240 |
| Mailing Fax Number | 3178181022 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-10-31 |
| Authorized Official Name | DR. RAYMOND V 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 | 11-000052-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100290340A | 05 |
| Other Name | Type Code |
|---|---|
| VERMILLION CONVALESCENT 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 |
1705 S MAIN ST |
| City | CLINTON |
| State | IN |
| Zip Code | 47842-2524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841582 | Autumn Brooke Trifone | Pharmacist | 1795 In 163, Clinton, IN 47842 | 2020-11-04 |
| 1174064414 | Venkataramanaiah Kamatam | Physical Therapist | 957 S Main St, Apt :2, Clinton, IN 47842 | 2017-03-20 |
| 1134561491 | Jamileh Farid | Pharmacist | 801 S Main, Union Hospital Clinton Pharmacy, Clinton, IN 47842 | 2013-07-26 |
| 1396289286 | Indiana Hearing LLC | Hearing Aid Equipment | 226 Elm St, Clinton, IN 47842 | 2016-12-12 |
| 1285070177 | Jeffrey Kent Binder | Chiropractor | 119 S. Main St., Clinton, IN 47842 | 2013-05-17 |
| 1679756753 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 375 S 11th St, Clinton, IN 47842 | 2007-12-11 |
| 1699115253 | Crown Hill Dentistry LLC | Dentist | 1792 E State Highway 163, Clinton, IN 47842-0160 | 2013-06-27 |
| 1144437237 | South Vermillion Community School Corporation | Student in an Organized Health Care Education/Training Program | 800 W. Wildcat Dr., Clinton, IN 47842-0387 | 2007-05-17 |
| 1174511224 | Heritage House of Clinton, Inc. | Skilled Nursing Facility | 375 S 11th St, Clinton, IN 47842-1053 | 2005-10-12 |
| 1467003418 | Brooke N Janes | Physical Therapy Assistant | 375 S 11th St, Clinton, IN 47842-1053 | 2019-09-21 |
| Find all providers in zip 47842 | ||||
| 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 |
|---|---|---|---|---|
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1578927588 | Pineview Extended Care Centre, Inc. | Skilled Nursing Facility | 9016 Pine View Lane, Clinton, MD 20735-3229 | 2016-04-06 |
| 1225295710 | State of Oklahoma | Skilled Nursing Facility | 1701 South 4th, Clinton, OK 73601-1209 | 2008-05-21 |
| 1548465891 | Presbyterian Communities of South Carolina | Skilled Nursing Facility | 801 Musgrove St, Clinton, SC 29325-1752 | 2007-06-18 |
| 1265575641 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 120 Southwood Dr, Clinton, NC 28328-5002 | 2007-02-15 |
| 1477616183 | Arbor Place of Clinton Inc | Skilled Nursing Facility | 106 Padgett Dr, Clinton, KY 42031-1313 | 2006-12-18 |
| 1922172113 | United Methodist Retirement & Health Care Center, Inc. | Skilled Nursing Facility | 2316 W Modelle Ave, Clinton, OK 73601-3722 | 2006-11-20 |
| 1568567113 | Clinton Nursing Center, LLC | Skilled Nursing Facility | 2400 W Modelle Ave, Clinton, OK 73601-3724 | 2006-09-14 |
| 1033141015 | Clinton No 1 Inc | Skilled Nursing Facility | 1009 E Ohio St, Clinton, MO 64735-2455 | 2006-07-07 |
| 1962440636 | Nhc Healthcare-clinton LLC | Skilled Nursing Facility | 304 Jacobs Hwy, Clinton, SC 29325-7279 | 2006-06-03 |
| Find all providers in CLINTON | ||||
Please comment or provide details below to improve the information on WITHAM MEMORIAL 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.