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Organization
WOODLAWN HOSPITAL
Active
Organization
WOODLAWN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ALLEY (PRESIDENT/CEO)
(574) 223-3141
Entity
Organization
Contact information
Practice address
6450 MIAMI CIR, SOUTH BEND, IN 46614-6480
(574) 231-1000
(574) 231-5566
Mailing address
6450 MIAMI CIR, SOUTH BEND, IN 46614-6480
(574) 231-1000
(574) 231-5566
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050026621
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000192793
ANTHEM BLUE CROSS BLUE SH
IN
05
—
200315930A
—
IN
Enumeration date
01/17/2006
Last updated
02/15/2016
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