Witham Memorial Hospital
General Acute Care Hospital
2605 N Lebanon St, Lebanon
Indiana, 46052-1476
765-485-8000 765-485-8118
Witham Memorial Hospital is an authorized DME supplier for medicare equipment and products.Witham Memorial Hospital is a General Acute Care Hospital in Lebanon, Indiana. It is located at 2605 N Lebanon St, Lebanon and it's customer support contact number is 765-485-8000. The authorized person of Witham Memorial Hospital is Kelly Braverman who is Ceo, President of this DME and his contact number is 765-485-8100. Witham Memorial Hospital accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Witham Memorial Hospital is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
DME Supplier Details:
Witham Memorial Hospital type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Witham Memorial Hospital |
| Type: | General Acute Care Hospital |
| Location: | 2605 N Lebanon St, Lebanon, Indiana, 46052-1476 |
| Phone: | 765-485-8000 |
| Fax: | 765-485-8118 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Kelly Braverman |
| Position: | Ceo, President |
| Contact Number: | 765-485-8100 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1699757401 |
| NPI Enumeration Date: | 17 Nov, 2005 |
| NPI Last Update On: | 02 Jul, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Witham Memorial Hospital are as mentioned below.
| Specialization | License Number | State | Status | |
| General Acute Care Hospital | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100269130A | Medicaid | Indiana | |
| 100469070A | Medicaid | Indiana | |
| 300039905 | Medicaid | Indiana | |
Medicare Enrollment:
Witham Memorial Hospital is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2605 N Lebanon St, Lebanon, Indiana |
| Zip: | 46052-1476 |
| Phone Number: | -- |
Patients can reach Witham Memorial Hospital at
2605 N Lebanon St, Lebanon, Indiana or can
call on customer care at 765-485-8000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.