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Organization
WITHAM MEMORIAL HOSPITAL
Active
Organization
WITHAM MEMORIAL HOSPITAL
Active
Other names
McGivney 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
2907 E 136TH ST, CARMEL, IN 46033-9402
(317) 846-0265
(317) 846-3944
Mailing address
6401 S US HIGHWAY 41, TERRE HAUTE, IN 47802-4749
(812) 298-3002
(812) 298-3044
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
04-000545-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267350
—
IN
Enumeration date
10/12/2005
Last updated
10/28/2025
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