# WITHAM MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** McGivney Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629066790
- **Authorized official:** KELLY BRAVERMAN (CEO, PRESIDENT)
- **Authorized official phone:** (765) 485-8100

## Contact information

- **Practice address:** 2907 E 136TH ST, CARMEL, IN 46033-9402
- **Practice address phone:** (317) 846-0265
- **Practice address fax:** (317) 846-3944
- **Mailing address:** 6401 S US HIGHWAY 41, TERRE HAUTE, IN 47802-4749
- **Mailing address phone:** (812) 298-3002
- **Mailing address fax:** (812) 298-3044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 04-000545-1 | IN | Yes |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 10/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100267350 | — | IN |