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Woodlawn Hospital

Woodlawn Hospital is a health care provider in Winona Lake, IN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 337 Grace Village Dr, Winona Lake, IN 46590-5774, US
Practice Location Phone574-372-6200
Practice Location Fax574-372-6386
Legal Business NameWOODLAWN HOSPITAL
Other Organization NameGRACE VILLAGE HEALTH CARE FACILITY
Other Organization Name TypeDoing Business As Name
NPI ?1285723734
Entity TypeOrganization
Enumeration Date ? Oct 12, 2006
Last Update Date ? Nov 25, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Woodlawn Hospital

SpecialtySpecializationLicenseLicense State
Assisted Living Facility 060005011Indiana
Nursing Facility/Intermediate Care Facility 060005011Indiana
Skilled Nursing Facility 060005011Indiana

legacy-id-icon Legacy Provider IDs of Woodlawn Hospital

Provider IdIssuer StateIssuer TypeIssuer
100266260AIndianaMedicaid
2297IndianaOtherRBA HOME NUMBER
000000097895IndianaOtherANTHEM PIN NUMBER

official-icon Authorized Official of Woodlawn Hospital

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Woodlawn Hospital's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official John Alley
Authorized Official Title/PositionPRESIDENT/CEO
Authorized Official Phone Number574-223-3141