| Witham Health Services | |
|
2605 N Lebanon St Lebanon IN 46052-1476 | |
| (765) 485-8100 | |
| (765) 485-8118 |
| Full Name | Witham Health Services |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2605 N Lebanon St, Lebanon, Indiana |
| Authorized Official Name and Position | Kelly Braverman (CEO, PRESIDENT) |
| Authorized Official Contact | 7654858100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Witham Health Services 2605 N Lebanon St Lebanon IN 46052-1476 Ph: (765) 485-8100 | Witham Health Services 2605 N Lebanon St Lebanon IN 46052-1476 Ph: (765) 485-8100 |
| NPI Number | 1619019791 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Medicare PECOS PAC ID | 4082523170 |
|---|---|
| Medicare Enrollment ID | O20080122000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619019791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 070050931 (Indiana) | Primary |
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