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Organization

WOODLAWN HOSPITAL

Active
Parent organization
WOODLAWN HOSPITAL
Other names
Shafer Medical Center
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
1430 E 9TH ST, ROCHESTER, IN 46975
(574) 223-9393
(574) 223-5847
Mailing address
1400 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 223-3141
(574) 224-1103

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207RP1001X
Pulmonary Disease Physician
207X00000X
Orthopaedic Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100269770B
IN
Enumeration date
12/21/2006
Last updated
03/19/2019
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