# WITHAM MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Westminster Village Kentuckiana
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720082456
- **Authorized official:** MR. JOHN BARTLE JR. (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (317) 525-0225

## Contact information

- **Practice address:** 2210 GREENTREE N, CLARKSVILLE, IN 47129-8958
- **Practice address phone:** (812) 282-5911
- **Practice address fax:** (812) 285-9830
- **Mailing address:** PO BOX 501188, INDIANAPOLIS, IN 46250-6188
- **Mailing address phone:** (317) 806-6775
- **Mailing address fax:** (317) 806-6771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 5471 | IN | Yes |

## Other

- **Enumeration date:** 06/10/2005
- **Last updated:** 02/17/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100266130 | — | IN |