Whitley Memorial Hospital, Inc.
General Acute Care Hospital
1260 E State Road 205, Columbia City
Indiana, 46725
260-248-9302 260-248-9107
Whitley Memorial Hospital, Inc. is a General Acute Care Hospital in Columbia City, Indiana. This organization is also known as sub part of Whitley Memorial Hospital, Inc.. It is located at 1260 E State Road 205, Columbia City and it's customer support contact number is 260-248-9302. The authorized person of Whitley Memorial Hospital, Inc. is Stanton Risser who is Acfo of the pharmacy and his contact number is 260-266-9380. Active license number of Whitley Memorial Hospital, Inc. is 06-005090-1 for General Acute Care Hospital in Indiana. Whitley Memorial Hospital, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Whitley Memorial Hospital, Inc. 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.
Pharmacy Details:
Whitley Memorial Hospital, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Whitley Memorial Hospital, Inc. |
| Type: | General Acute Care Hospital |
| Location: | 1260 E State Road 205, Columbia City,
Indiana, 46725 |
| Phone: | 260-248-9302 |
| Fax: | 260-248-9107 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Stanton Risser |
| Position: | Acfo |
| Contact Number: | 260-266-9380 |
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 pharmacy are as mentioned below.
| NPI Number: | 1205844495 |
| Parent Organization: | Whitley Memorial Hospital, Inc. |
| NPI Enumeration Date: | 03 Aug, 2006 |
| NPI Last Update On: | 31 Oct, 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 Whitley Memorial Hospital, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Acute Care Hospital | 06-005090-1 | Indiana | Primary | |
| Institutional Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000000004969 | Other | Indiana | Mplan Identification # |
| 404608378 | Medicaid | Michigan | |
| 4744 | Other | Indiana | Php Identification # |
| 000000098126 | Other | Indiana | Indiana Comp. Id# |
| 100268830A | Medicaid | Indiana | |
| 1509946 | Other | | Ncpdp |
| 304608369 | Medicaid | Michigan | |
| 000000098126 | Other | Indiana | Anthem Identification # |
| 03697300 | Other | Indiana | Black Lung Id# |
| 01300664 | Medicaid | Kentucky | |
| 351965665-001 | Other | Indiana | Champus Identification # |
| 9422664 | Medicaid | Ohio | |
Medicare Enrollment:
Whitley Memorial Hospital, Inc. 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 |
| 0446278469 | O20051109000024 | Whitley Memorial Hospital Inc | PART A PROVIDER - HOSPITAL |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 5600,
Fort Wayne, Indiana |
| Zip: | 46895-5600 |
| Phone Number: | 260-373-7008 |
| Fax Number: | 260-373-7059 |
Patients can reach Whitley Memorial Hospital, Inc. at
1260 E State Road 205, Columbia City, Indiana or can
call on customer care at 260-248-9302.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.