Witham Memorial Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WITHAM MEMORIAL HOSPITAL

Doing business as

Witham Health Services

Practice address

2605 N Lebanon St
Lebanon, IN 46052-1476

Phone

(765) 485-8300

Fax

(765) 485-8118

NPI assigned

Jul 17, 2014

Last updated

Mar 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Braverman

Title

Ceo, President

Phone

(765) 485-8100

Specialties & licenses 1

Addresses

Other names 1

• Witham Health Services Doing business as

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1588071914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521476",
            "telephone_number": "765-485-8100",
            "fax_number": "765-485-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521476",
            "telephone_number": "765-485-8300",
            "fax_number": "765-485-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHAM MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-26",
        "status": "A",
        "authorized_official_last_name": "BRAVERMAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "765-485-8100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Witham Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Witham Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Si-Ron M Wilson, PTA
• Ted R Winkler, MD
• Witham Memorial Hospital (Witham Health Services)
• Witham Memorial Hospital (Boone County EMS)
• Witham Memorial Hospital (Witham Health Services)
• Witham Memorial Hospital (Witham Health Services)
• Witham Memorial Hospital (Witham Health Services)
• Witham Memorial Hospital (Witham Health Services)
• Witham Memorial Hospital
• Witham Memorial Hospital (Homewood Health Campus)

• Skilled Nursing Facility in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.