WITHAM MEMORIAL HOSPITAL (NPI# 1801204201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801204201 |
Entity Type | Organization |
Organization Name | WITHAM MEMORIAL HOSPITAL |
Other Organization Name | WITHAM HEALTH SERVICES |
Practice Address |
2705 N Lebanon St Lebanon IN 46052-8621 |
Practice Telephone | 7654858390 |
Practice Fax Number | 7654858399 |
Mailing Telephone | 7654858390 |
Mailing Fax Number | 7654858399 |
Enumeration Date | 2014-07-29 |
Last Update Date | 2014-07-29 |
Authorized Official Name | JOSEPH BITNER (DIRECTOR OF PHARMACY) |
Authorized Official Telephone | 7654858395 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
60000062A | IN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100269130A | 05 | |
PK | 2147057 | 01 |
Other Name | Type Code |
---|---|
Witham Health Services | 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 |
2705 N LEBANON ST |
City | LEBANON |
State | IN |
Zip Code | 46052-8621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942297627 | Zsolt Shepherd Takacs | Family Medicine | 2705 N Lebanon St, Suite 300, Lebanon, IN 46052-8612 | 2005-09-29 |
1992291306 | Shalin Zia | Optometrist | 2705 N Lebanon St, Lebanon, IN 46052 | 2018-07-09 |
1467858159 | Ossip Optometry, P.C. | Optometrist | 2705 N Lebanon St, Suite 230, Lebanon, IN 46052-8621 | 2014-11-07 |
1740627256 | Sarah Grabois Tarai | Pediatrics | 2705 N Lebanon St, Suite 310, Lebanon, IN 46052-8621 | 2013-05-24 |
1902154842 | Indiana University Eye Care, Inc. | Ophthalmology | 2705 N Lebanon St, Suite 230, Lebanon, IN 46052-8621 | 2012-08-27 |
1720371891 | Laura Elizabeth Thieme | Pediatrics | 2705 N Lebanon St, Suite 310, Lebanon, IN 46052-8621 | 2011-05-24 |
1538468004 | Abigail Sue Adams Scott | Podiatrist | 2705 N Lebanon St, Suite 305, Lebanon, IN 46052-8621 | 2011-03-22 |
1487978656 | Orthopedic Specialists of Lebanon | Orthopaedic Surgery | 2705 N Lebanon St, Suite 210, Lebanon, IN 46052-8621 | 2010-03-17 |
1407063449 | Michael C Knox | Anesthesiology | 2705 N Lebanon St, Ste 155, Lebanon, IN 46052-8621 | 2007-05-17 |
1386613909 | Justin David Wright | Family Medicine | 2705 N Lebanon St, Suite 300, Lebanon, IN 46052 | 2006-03-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316567647 | Meredith England Labrie | Behavioral Analyst | 110 Birchwood Drivve, Lebanon, IN 46052 | 2020-04-16 |
1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
1316177363 | Kathryn Elizabeth Ehrgott | Counselor | 1005 South Lebanon Street, Boone County Services, Lebanon, IN 46052 | 2009-07-23 |
1780838557 | Kathleen M Whitaker | Registered Nurse | 209 W North St, Lebanon, IN 46052 | 2008-11-06 |
1851551998 | James R Mcafee | General Practice | 1997 Terrace Ln, Lebanon, IN 46052 | 2008-06-12 |
1518021773 | Zulfiqar Ali Mirza | Internal Medicine | 2505 N Lebanon St Ste 220, Lebanon, IN 46052 | 2006-12-21 |
1316016108 | Russell Allen Lindner | Chiropractor | 3920 North State Road 39, Boone County Chiropractic Office, Lebanon, IN 46052 | 2006-11-07 |
1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
1558463992 | Cowan Drugs Inc | Pharmacy | 1639 N Lebanon St, Lebanon, IN 46052 | 2006-09-05 |
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Taxonomy Code | 3336I0012X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Institutional Pharmacy |
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255541629 | Mid Valley Healthcare Inc | Pharmacy | 525 N Santiam Highway, Lebanon, OR 97355-4363 | 2007-05-23 |
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1932419314 | Cancer Care Partners LLC | Pharmacy | 301 E Day Rd Ste 300, Mishawaka, IN 46545-3455 | 2010-10-19 |
1093968448 | Skilled Care of Indiana LLC | Pharmacy | 9900 Westpoint Dr, Ste 100, Indianapolis, IN 46256-3358 | 2008-10-29 |
1043498850 | Indiana University Health Bloomington Inc | Pharmacy | 1355 W Bloomfield Rd, Bloomington, IN 47403-2051 | 2008-02-04 |
1942428420 | Parkview Hospital, Inc. | Pharmacy | 11104 Parkview Circle Drive, Fort Wayne, IN 46845-1704 | 2007-04-23 |
1205844495 | Whitley Memorial Hospital, Inc. | Pharmacy | 1260 E State Road 205, Columbia City, IN 46725 | 2006-08-03 |
1225080963 | Little Company of Mary Hospital of Indiana, Inc | Pharmacy | 800 W. 9th St, Jasper, IN 47546-2514 | 2006-05-17 |
1346248986 | Johnson Memorial Hospital | Pharmacy | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2005-07-08 |
1023588811 | Community Hospital of Bremen | Pharmacy | 1020 High Rd, Bremen, IN 46506-1093 | 2018-12-05 |
1437645587 | Rehabilitation Hospital of Indiana, Inc. | Pharmacy | 4141 Shore Dr, Indianapolis, IN 46254-2607 | 2018-07-02 |
1225441975 | United Surgeons, LLC | Pharmacy | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 | 2014-06-10 |
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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.