Indiana University Health White Memorial Hospital, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

60004820A Issued in IN

Legal business name

INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL, INC

Practice address

720 S 6TH St
Monticello, IN 47960-8182

Phone

(574) 583-7111

Fax

(574) 583-1703

NPI assigned

Oct 11, 2006

Organization subpart

Yes

Parent organization

INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL, INCAs reported in NPPES

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

Authorized official

Name

Mrs. Stephanie Long

Title

Ceo

Phone

(574) 583-7111

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Indiana University Hosp Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Indiana University Health, Inc

  dba SLEEP APNEA EDUCATION CENTER at INDIANA UNIVERSITY HEALTH WEST

  • Durable Medical Equipment & Medical Supplies
  • Avon, IN
  • NPI 1073753208

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Indiana University Health White Memorial Hospital Inc

  • Critical Access Hospital
  • Monticello, IN
  • NPI 1710983945
  NPPES parent name

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1922196229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S 6TH ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479608182",
            "telephone_number": "574-583-7111",
            "fax_number": "574-583-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S 6TH ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479608182",
            "telephone_number": "574-583-7111",
            "fax_number": "574-583-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL,  INC",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-583-7111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IN",
            "license": "60004820A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS DME",
            "identifier": "000000097136",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201026750A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaycee Hostetler
• Kassie Anne Hunt, NP
• Indiana University Health Arnett, Inc.
• Indiana University Health White Memorial Hospital Inc (IU Health White Memorial Hospital)
• Indiana University Health White Memorial Hospital Inc
• Brooke Johnson, DMHA CMHW
• Harold E Johnson, D.C.
• Jada Johnson, RN
• Judy A Kanelos, EXECUTIVE DIRECTOR
• Aswin Ratna Kansakar

• Oxygen Equipment & Supplies (DME) in Monticello, IN
• Providers in Monticello, IN by specialty
• Oxygen Equipment & Supplies (DME) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.