Organization Name: | WHITLEY MEMORIAL HOSPITAL, INC. |
NPI Number: | 1497764450 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKE BROWNING (SVP -- CFO) |
Mailing Address: | 1250 E State Road 205 Columbia City |
State: | IN US |
Postal Code: | 467259492 |
Phone Number: | 2602489302 |
Fax Number: | 2602489107 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 05/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 0091 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |