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Organization

WITHAM MEMORIAL HOSPITAL

Active
Other names
Boone County EMS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GEORGE POGAS (CFO, SR. VICE PRESIDENT)
(765) 485-8100
Entity
Organization

Contact information

Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 485-8000
(765) 485-8069
Mailing address
2605 N LEBANON ST, ADMINISTRATION, LEBANON, IN 46052-1476
(765) 485-8100
(765) 485-8118

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300079439
IN
Enumeration date
02/13/2007
Last updated
08/17/2023
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