Organization
WITHAM MEMORIAL HOSPITAL
Active
Other names
Witham Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BRAVERMAN (CEO, 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, LEBANON, IN 46052-1476
(765) 485-8000
(765) 485-8069
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
07/02/2024
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