Whitley Memorial Hospital Inc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

WHITLEY MEMORIAL HOSPITAL INC

Practice address

1355 Mariners Dr
Warsaw, IN 46582-7145

Phone

(574) 372-0000

NPI assigned

Oct 16, 2023

Organization subpart

Yes

Parent organization

PARKVIEW HEALTH SYSTEM, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stanton Risser

Title

Acfo

Phone

(260) 266-9380

Specialties & licenses 1

Addresses

Other names 1

• Parkview Kosciusko Hospital Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Whitley Memorial Hospit3 organizations share this tax ID, including this one

Part of

Parkview Health Systems

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Whitley Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Columbia City, IN
  • NPI 1205844495
  NPD tax ID
• Whitley Memorial Hospital, Inc.

  • Land Ambulance
  • Columbia City, IN
  • NPI 1497764450
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1497537369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 PRODUCTION RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468081167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 MARINERS DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465827145",
            "telephone_number": "574-372-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITLEY MEMORIAL HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKVIEW HEALTH SYSTEM, INC.",
        "enumeration_date": "2023-10-16",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "RISSER",
        "authorized_official_first_name": "STANTON",
        "authorized_official_title_or_position": "ACFO",
        "authorized_official_telephone_number": "260-266-9380"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkview Kosciusko Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parkview Kosciusko Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela N Weaver, MA
• Stephanie Wells, NP-C
• Nathaniel Wessels, MA
• Kayla Rose Weston
• Roxanne T Whalen, RPH
• Alexia Whitsel
• Haley Wiggs
• Ashley Jo Wildman
• Marisa Willard
• Audie Williams, CST/CSFA

• General Acute Care Hospital in Warsaw, IN
• Providers in Warsaw, IN by specialty
• General Acute Care Hospital in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.