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INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL INC NPI 1316019722


NPI Information

NPI: 1316019722
Provider Name: INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL INC

Doing Business As: IU HEALTH WHITE MEMORIAL HOSPITAL

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization

CLIA Number: 15D0919924

Address:
720 S 6TH ST
MONTICELLO, IN
ZIP 47960
Phone: (574) 583-7111
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INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL INC is a medicare defined swing bed unit in Monticello, IN. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL INC NPI is 1316019722. The provider is registered as an organization entity type.
The provider Is Doing Business As Iu Health White Memorial Hospital.

The provider's business location address is:

720 S 6TH ST
MONTICELLO, IN
ZIP 47960-182
Phone: (574) 583-7111
Fax: (574) 583-1703

The provider's authorized official is Mary Minier .
The authorized official title is President and has the following contact phone number (574) 583-1757.

The CLIA number assigned to this NPI record is 15D0919924 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 10/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed UnitYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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