Organization
WITHAM MEMORIAL HOSPITAL
Active
Parent organization
WITHAM MEMORIAL HOSPITAL
Other names
Ambassador Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
WITHAM MEMORIAL HOSPITAL
Authorized official
KELLY BRAVERMAN (CEO, PRESIDENT)
(765) 485-8100
Entity
Organization
Contact information
Practice address
705 E MAIN ST, CENTERVILLE, IN 47330-9676
(765) 855-3424
(765) 485-1087
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
11-000456-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100288750
—
IN
Enumeration date
07/15/2011
Last updated
03/26/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us