Organization
WOODLAWN HOSPITAL
Active
Parent organization
WOODLAWN HOSPITAL
Other names
Woodlawn Medical Professionals
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
1400 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 223-3141
(574) 223-5847
Mailing address
1400 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 223-3141
(574) 223-5847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031969
IN
207Q00000X
Family Medicine Physician
01038921
IN
207Q00000X
Family Medicine Physician
01044502
IN
207Q00000X
Family Medicine Physician
01046904
IN
207Q00000X
Family Medicine Physician
01051336
IN
208000000X
Pediatrics Physician
01042718
IN
208000000X
Pediatrics Physician
01049343
IN
363LF0000X
Family Nurse Practitioner
71000682
IN
363LF0000X
Family Nurse Practitioner
71000786
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269770A
—
IN
Enumeration date
05/15/2007
Last updated
03/19/2019
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