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Organization
WITHAM MEMORIAL HOSPITAL
Active
Organization
WITHAM MEMORIAL HOSPITAL
Active
Other names
WESTRIDGE HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BRAVERMAN (CEO, PRESIDENT)
(765) 485-8100
Entity
Organization
Contact information
Practice address
125 W MARGARET DR, TERRE HAUTE, IN 47802-3799
(812) 232-3311
(818) 234-0453
Mailing address
9480 PRIORITY WAY WEST DR, INDIANAPOLIS, IN 46240-1470
(317) 818-1240
(317) 818-1022
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
11-000139-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266410
—
IN
Enumeration date
03/16/2007
Last updated
06/24/2022
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