WHITLEY MEMORIAL HOSPITAL, INC.
NPI 1205844495
General Acute Care Hospital in Columbia City, IN


Hospital Overall Rating: 5 out of 5 stars

NPI Status: Active since August 03, 2006

Contact Information

1260 E STATE ROAD 205
COLUMBIA CITY, IN
ZIP 46725
Phone: (260) 248-9302
Fax: (260) 248-9107

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  • Organization
  • General Acute Care Hospital
  • Accepts Insurance
  • CLIA Number: 15D2176796
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-25-2025

About WHITLEY MEMORIAL HOSPITAL, INC.

Whitley Memorial Hospital, Inc. is a hospital serving the Columbia City, Indiana region. The facility is a general acute care hospital. The NPI number of this hospital is 1205844495 assigned on August 2006. The hospital's primary taxonomy code is 282N00000X with license number 06-005090-1 (IN). The provider is registered as an organization and their NPI record was last updated March 2026. The provider's . The authorized official of this NPI record is Mrs. Jessica Lee-hansen (Cfo)

NPI
1205844495
Provider Legal Name
WHITLEY MEMORIAL HOSPITAL, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1260 E STATE ROAD 205 COLUMBIA CITY, IN 46725
Location Phone
(260) 248-9302
Location Fax
(260) 248-9107
Mailing Address
PO BOX 5600 FORT WAYNE, IN 46895
Mailing Phone
(260) 373-7008
Mailing Fax
(260) 248-9107
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-03-2006
Last Update Date
03-02-2026
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According to the Hospital Compare program data, Whitley Memorial Hospital, Inc. has excellent overall quality rating based on the hospital's performance on seven separate quality measures including: mortality, safety of care, readmissions, patient experience, effectiveness of care, timeliness of care and efficient use of medical imaging. These quality measures are combined in a weighted average to generate a star rating of 5 out of 5 stars for this provider. The hospital provides emergency services like acute medical care or trauma care.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
06-005090-1
License State
IN
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336I0012XSuppliers

Pharmacy
Institutional Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Catastrophic Essential (+ Incentives) - HMO
  • Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
  • Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • BSW Diabetes Care Gold HMO 014 - HMO
  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Savers Bronze HMO H S A 009 - HMO
  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JESSICA LEE-HANSEN

Authorized Official Title
CFO
Authorized Official Phone
(312) 388-0125

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000000004969OTHER (01)INMPLAN IDENTIFICATION #
404608378MEDICAID (05)MI 
4744OTHER (01)INPHP IDENTIFICATION #
000000098126OTHER (01)ININDIANA COMP. ID#
100268830AMEDICAID (05)IN 
1509946OTHER (01)NCPDP
304608369MEDICAID (05)MI 
000000098126OTHER (01)INANTHEM IDENTIFICATION #
03697300OTHER (01)INBLACK LUNG ID#
01300664MEDICAID (05)KY 
351965665-001OTHER (01)INCHAMPUS IDENTIFICATION #
9422664MEDICAID (05)OH 

Hospital Compare Quality Information

Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.

  • Overall Quality Rating - 5 out of 5 stars - Excellent

    The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.

  • Nurse Communication - 5 out of 5 stars - Excellent

    Nurse communication - star rating

  • Doctor Communication - 3 out of 5 stars - Average

    Doctor communication - star rating

  • Staff Responsiveness - 5 out of 5 stars - Excellent

    Staff responsiveness - star rating

  • Communication About Medicines - 4 out of 5 stars - Good

    Communication about medicines - star rating

  • Discharge Information - 5 out of 5 stars - Excellent

    Discharge information - star rating

  • Care Transition - 4 out of 5 stars - Good

    Care transition - star rating

  • Cleanliness - 5 out of 5 stars - Excellent

    Cleanliness - star rating

  • Quietness - 4 out of 5 stars - Good

    Quietness - star rating

  • Recommend Hospital - 5 out of 5 stars - Excellent

    Recommend hospital - star rating

  • Hospital Type Acute Care Hospitals - Voluntary non-profit - Private

  • Emergency Services: Yes

    Shows if the hospital provides emergency services like acute medical care or trauma care.

  • Meaningful Use of Electronic Health Records: Y

    Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).

Hospital Complications and Mortality Quality Ratings

  • CMS Medicare PSI 90: Patient safety and adverse events composite is no different than the national value

    Evaluation Period: July 2021 - June 2023

  • Abdominopelvic accidental puncture or laceration rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative wound dehiscence rate is number of cases too small

    Evaluation Period: July 2021 - June 2023

  • Perioperative pulmonary embolism or deep vein thrombosis rate is number of cases too small

    Evaluation Period: July 2021 - June 2023

  • Postoperative hemorrhage or hematoma rate is number of cases too small

    Evaluation Period: July 2021 - June 2023

  • In-hospital fall-associated fracture rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Iatrogenic pneumothorax rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Pressure ulcer rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Death rate for stroke patients is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Death rate for pneumonia patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for heart failure patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for COPD patients is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Death rate for heart attack patients is number of cases too small

    Evaluation Period: July 2020 - June 2023

Hospital Associated Infections Quality Ratings

  • Clostridium Difficile (C.Diff) is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

Unplanned Hospital Visits Quality Ratings

  • Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy is number of cases too small

    Evaluation Period: January 2022 - December 2022

  • Rate of inpatient admissions for patients receiving outpatient chemotherapy is number of cases too small

    Evaluation Period: January 2022 - December 2022

  • Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) is no different than the national rate

    Evaluation Period: January 2020 - December 2022

  • Hospital return days for pneumonia patients is fewer days than average per 100 discharges

    Evaluation Period: July 2020 - June 2023

  • Hospital return days for heart failure patients is average days per 100 discharges

    Evaluation Period: July 2020 - June 2023

  • Hospital return days for heart attack patients is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Pneumonia (PN) 30-Day Readmission Rate is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission after discharge from hospital (hospital-wide) is no different than the national rate

    Evaluation Period: July 2022 - June 2023

  • Heart failure (HF) 30-Day Readmission Rate is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission for chronic obstructive pulmonary disease (COPD) patients is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Acute Myocardial Infarction (AMI) 30-Day Readmission Rate is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Ratio of unplanned hospital visits after hospital outpatient surgery is number of cases too small

    Evaluation Period: January 2022 - December 2022

Hospital Maternal Health Quality Ratings

  • Elective Delivery percentage is 4%

    Percentage of mothers whose deliveries were scheduled 1 to 2 weeks early.
    Evaluation Period: January 2023 - December 2023

  • Maternal Morbidity Structural Measure: Yes

    Assesses whether or not the hospital participates in a Perinatal Quality Improvement Collaborative Initiative.
    Evaluation Period: January 2023 - December 2023

Hospital Timely and Effective Care Quality Ratings

  • Intensive Care Unit Venous Thromboembolism Prophylaxis is not available

    Evaluation Period: January 2023 - December 2023

  • Venous Thromboembolism Prophylaxis is 98

    Evaluation Period: January 2023 - December 2023

  • Discharged on Statin Medication is not available

    Evaluation Period: January 2023 - December 2023

  • Antithrombotic Therapy by End of Hospital Day 2 is not available

    Evaluation Period: January 2023 - December 2023

  • Anticoagulation Therapy for Atrial Fibrillation/Flutter is not available

    Evaluation Period: January 2023 - December 2023

  • Discharged on Antithrombotic Therapy is 95

    Evaluation Period: January 2023 - December 2023

  • Severe Sepsis 6-Hour Bundle is 100 %

    Septic Shock 6 Hour.
    Evaluation Period: January 2023 - December 2023

  • Severe Sepsis 3-Hour Bundle is 87

    Evaluation Period: January 2023 - December 2023

  • Septic Shock 6-Hour Bundle is 71 %

    Severe Sepsis 6 Hour.
    Evaluation Period: January 2023 - December 2023

  • Septic Shock 3-Hour Bundle is 76 %

    Septic Shock 3 Hour.
    Evaluation Period: January 2023 - December 2023

  • Appropriate care for severe sepsis and septic shock is 73 %

    Severe Sepsis and Septic Shock. Sepsis is a complication that happens when a patient has an extreme response to an infection. Higher percentages are better.
    Evaluation Period: January 2023 - December 2023

  • Safe Use of Opioids - Concurrent Prescribing is 9

    Evaluation Period: January 2023 - December 2023

  • ST-Segment Elevation Myocardial Infarction (STEMI) is not available

    Evaluation Period: January 2023 - December 2023

  • Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery is not available %

    Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery.
    Evaluation Period: January 2022 - December 2022

  • Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients is 100 %

    Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy.
    Evaluation Period: January 2022 - December 2022

  • Head CT results is 100 %

    Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival.
    Evaluation Period: January 2023 - December 2023

  • Left before being seen is 0 %

    Percentage of patients who left the emergency department before being seen.
    Evaluation Period: January 2022 - December 2022

  • Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better is 224 minutes

    Average time patients spent in the emergency department before being sent home.
    Evaluation Period: January 2023 - December 2023

  • Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better is 121 minutes

    Average time patients spent in the emergency department before leaving from the visit.
    Evaluation Period: January 2023 - December 2023

  • Healthcare workers given influenza vaccination is 88%

    Percentage of healthcare workers given influenza vaccination.
    Evaluation Period: October 2023 - March 2024

  • Hospital Harm - Severe Hyperglycemia is not available

    Evaluation Period: January 2023 - December 2023

  • Hospital Harm - Severe Hypoglycemia is not available

    Evaluation Period: January 2023 - December 2023

  • Percentage of healthcare personnel who are up to date with COVID-19 vaccinations is 0.3%

    Percentage of healthcare personnel who completed COVID-19 primary vaccination series.
    Evaluation Period: October 2023 - December 2023

  • Admit Decision Time to ED Departure Time for Admitted Patients - psychiatric/mental health disorders is 95

    Evaluation Period: January 2023 - December 2023

  • Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders is 83

    Evaluation Period: January 2023 - December 2023

  • Emergency department volume is medium

    Evaluation Period: January 2022 - December 2022

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2176796
Facility Type
Physician Office
Certificate Effective Date
December 26, 2023
Certificate Expiration Date
December 25, 2025
Laboratory Director
KENNETH AUSTIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Whitley Memorial Hospital, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205844495, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 6 + 4 + 8 + 4 + 1 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1205844495.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Pharmacist
1260 E STATE ROAD 205
COLUMBIA CITY, IN 46725
Pharmacist
1260 E STATE ROAD 205
COLUMBIA CITY, IN 46725
Pharmacist
1260 E STATE ROAD 205
COLUMBIA CITY, IN 46725
Emergency Medicine
1260 E STATE ROAD 205
COLUMBIA CITY, IN 46725
Nurse Anesthetist, Certified Registered
1260 E STATE ROAD 205
COLUMBIA CITY, IN 46725
Pharmacist
1260 E STATE ROAD 205
COLUMBIA CITY, IN 46725
Registered Nurse
1260 E STATE ROAD 205
COLUMBIA CITY, IN 46725
Emergency Medicine
1260 E STATE ROAD 205
COLUMBIA CITY, IN 46725
Emergency Medicine
1260 E STATE ROAD 205
COLUMBIA CITY, IN 46725

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205844495, enumerated as an "organization" on August 03, 2006.

The provider is located at 1260 E STATE ROAD 205 COLUMBIA CITY, IN 46725 and the phone number is (260) 248-9302.

General Acute Care Hospital with taxonomy code 282N00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.