Whitley Memorial Hospital, Inc. is an authorized DME supplier for medicare equipments and products.
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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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