# WITHAM MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Witham Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588071914
- **Authorized official:** KELLY BRAVERMAN (CEO, PRESIDENT)
- **Authorized official phone:** (765) 485-8100

## Contact information

- **Practice address:** 2605 N LEBANON ST, LEBANON, IN 46052-1476
- **Practice address phone:** (765) 485-8300
- **Practice address fax:** (765) 485-8118
- **Mailing address:** 2605 N LEBANON ST, LEBANON, IN 46052-1476
- **Mailing address phone:** (765) 485-8100
- **Mailing address fax:** (765) 485-8118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2014
- **Last updated:** 03/28/2022