Organization
INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL, INC
Active
Parent organization
INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL, INC
Authorized official
MRS. STEPHANIE LONG (CEO)
(574) 583-7111
Entity
Organization
Contact information
Practice address
720 S 6TH ST, MONTICELLO, IN 47960-8182
(574) 583-7111
(574) 583-1703
Mailing address
720 S 6TH ST, MONTICELLO, IN 47960-8182
(574) 583-7111
(574) 583-1703
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
60004820A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097136
BLUE CROSS DME
IN
05
—
201026750A
—
IN
Enumeration date
10/11/2006
Last updated
09/28/2011
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