Organization · Type 2 NPI

Witham Memorial Hospital

Skilled Nursing Facility · Indianapolis, IN

NPI number 1972939361 Active

Practice location

8405 Clearvista Pl
Indianapolis, IN 46256-3737

Call (317) 578-7500 Map

Fax (317) 578-7533

Mailing address

PO Box 221648
Louisville, KY 40252-1648

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

4 other providers at this address

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NPI record

NPI: 1972939361
Entity type: Organization (Type 2)
Issued: Sep 18, 2013
Last updated: Mar 26, 2022
Status: Active

Other names

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Clearvista Lake Health Campus · doing business as
Clearvista Lake Health Campus · doing business as

Authorized official

Kelly Braverman
CEO, President
(765) 485-8100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972939361

Witham Memorial Hospital's National Provider Identifier is 1972939361, issued on Sep 18, 2013. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 26, 2022.