Organization
WOODLAWN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE BOWERS (CHIEF EXECUTIVE OFFICER)
(574) 223-3141
Entity
Organization
Contact information
Practice address
1400 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 223-4131
Mailing address
1400 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 223-4131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01035910A
IN
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207X00000X
Orthopaedic Surgery Physician
01045175A
IN
207X00000X
Orthopaedic Surgery Physician
02002791A
IN
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
71002042A
IN
367500000X
Certified Registered Nurse Anesthetist
28124400
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269770
—
IN
Enumeration date
05/15/2007
Last updated
10/24/2023
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