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Organization
WITHAM MEMORIAL HOSPITAL
Active
Organization
WITHAM MEMORIAL HOSPITAL
Active
Other names
Boone County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE POGAS (CFO, SR. VICE PRESIDENT)
(765) 485-8100
Entity
Organization
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 485-8000
(765) 485-8069
Mailing address
2605 N LEBANON ST, ADMINISTRATION, LEBANON, IN 46052-1476
(765) 485-8100
(765) 485-8118
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300079439
—
IN
Enumeration date
02/13/2007
Last updated
08/17/2023
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