# WOODLAWN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodlawn Medical Professionals
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215096763
- **Authorized official:** MR. JOHN ALLEY (CEO PRESIDENT)
- **Authorized official phone:** (574) 223-3141

## Contact information

- **Practice address:** 1400 E 9TH ST, ROCHESTER, IN 46975-8931
- **Practice address phone:** (574) 223-2020
- **Practice address fax:** (574) 223-5847
- **Mailing address:** 710 ST RD 25 N, ROCHESTER, IN 46975
- **Mailing address phone:** (574) 223-2020
- **Mailing address fax:** (574) 223-5847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01044502A | IN | — |
| 207Q00000X | Family Medicine Physician | 01046904A | IN | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 01/11/2010