WOODLAWN HOSPITAL
Skilled Nursing Facility
Goshen, Indiana
Provider NPI: 1770586554
Organization Information:Organization Name: WOODLAWN HOSPITAL
Practice Location:
1225 GREENCROFT DR GOSHEN, IN 46526 US
Tel: 574-537-4000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1225 GREENCROFT DR GOSHEN, IN 46526 US
Tel: 574-537-4000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IN | 05-000112-1 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100288710A | IN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin