Organization
WITHAM MEMORIAL HOSPITAL
Active
Other names
McGivney Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BRAVERMAN (CEO, PRESIDENT)
(765) 485-8100
Entity
Organization
Contact information
Practice address
2907 E 136TH ST, CARMEL, IN 46033-9402
(317) 846-0265
(317) 846-3944
Mailing address
6401 S US HIGHWAY 41, TERRE HAUTE, IN 47802-4749
(812) 298-3002
(812) 298-3044
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
04-000545-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267350
—
IN
Enumeration date
10/12/2005
Last updated
10/28/2025
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