# WOODLAWN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WOODLAWN HOSPITAL
- **Other names:** Catherine Kasper Life Center Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982686242
- **Legal business name:** WOODLAWN HOSPITAL
- **Authorized official:** JOHN KRAFT (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (574) 224-1118

## Contact information

- **Practice address:** 9601 UNION RD, PLYMOUTH, IN 46563
- **Practice address phone:** (574) 935-1724
- **Practice address fax:** (574) 935-1710
- **Mailing address:** PO BOX 1, DONALDSON, IN 46513-0001
- **Mailing address phone:** (574) 935-1724
- **Mailing address fax:** (574) 935-1710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 200382090A | IN | Yes |

## Other

- **Enumeration date:** 11/14/2005
- **Last updated:** 08/06/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200382090A | — | IN |