Organization
WOODLAWN HOSPITAL
Active
Parent organization
WOODLAWN HOSPITAL
Other names
Fulton County Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOODLAWN HOSPITAL
Authorized official
JOHN KRAFT (CFO)
(574) 224-1118
Entity
Organization
Contact information
Practice address
100 E DUNN STREET, FULTON, IN 49631
(574) 857-5995
(574) 223-5847
Mailing address
1400 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 233-3141
(574) 223-5847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269770D
—
IN
Enumeration date
11/11/2009
Last updated
03/20/2019
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