Organization
WOODLAWN HOSPITAL
Active
Other names
Woodlawn Medical Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ALLEY (CEO PRESIDENT)
(574) 223-3141
Entity
Organization
Contact information
Practice address
1400 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 223-2020
(574) 223-5847
Mailing address
710 ST RD 25 N, ROCHESTER, IN 46975
(574) 223-2020
(574) 223-5847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01044502A
IN
207Q00000X
Family Medicine Physician
Primary
01046904A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200103750A
—
IN
05
—
200185450A
—
IN
01
—
270990
MEDICARE ID - TYPE UNSPECIFIED
IN
Enumeration date
12/08/2006
Last updated
01/11/2010
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