JOHNSON MEMORIAL HEALTH SERVICES (NPI# 1770697260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770697260 |
Entity Type | Organization |
Organization Name | JOHNSON MEMORIAL HEALTH SERVICES |
Other Organization Name | JOHNSON MEMORIAL HOSPITAL |
Practice Address |
1282 Walnut St Dawson MN 56232-2333 |
Practice Telephone | 3207694323 |
Practice Fax Number | 3207692131 |
Mailing Telephone | 3207694323 |
Mailing Fax Number | 3207692131 |
Enumeration Date | 2006-08-19 |
Last Update Date | 2020-08-22 |
Authorized Official Name | GLENN HAUGO (ADMINISTRATOR) |
Authorized Official Telephone | 3207694323 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | 331041 | MN | Hospital Units |
Other Name | Type Code |
---|---|
Johnson Memorial Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740602499 | Johnson Memorial Health Services | Assisted Living Facility | 1255 Walnut St, Dawson, MN 56232-2333 | 2014-01-15 |
1457466716 | Johnson Memorial Health Services | Clinic/Center | 115 3rd St, Boyd, MN 56218 | 2006-08-20 |
1104930692 | Johnson Memorial Health Services | Home Health | 1290 Locust St, Dawson, MN 56232-2326 | 2006-08-19 |
1336145796 | Johnson Memorial Health Services | Clinic/Center | 1282 Walnut St, Dawson, MN 56232 | 2005-06-21 |
1861506354 | Johnson Memorial Health Services | Skilled Nursing Facility | 1282 Walnut St, Dawson, MN 56232 | 2006-08-19 |
1093745051 | Johnson Memorial Health Services | General Acute Care Hospital | 1282 Walnut St, Dawson, MN 56232-2333 | 2006-07-04 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | JOHNSON MEMORIAL HEALTH SERVICES | 1282 Walnut St, Dawson, MN 56232-2333 |
Street Address |
1282 WALNUT ST |
City | DAWSON |
State | MN |
Zip Code | 56232-2333 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336145796 | Johnson Memorial Health Services | Clinic/Center | 1282 Walnut St, Dawson, MN 56232 | 2005-06-21 |
1023631041 | Brown Clinic Pllp | Podiatrist | 1282 Walnut St, Dawson, MN 56232-2333 | 2020-05-26 |
1942759576 | Alicia Peterson | Nurse Practitioner | 1282 Walnut St, Dawson, MN 56232-2333 | 2016-09-23 |
1215135488 | Renae A Durfee | Nurse Practitioner | 1282 Walnut St, Dawson, MN 56232-2333 | 2007-07-10 |
1962550400 | Bonnie A Will | Physical Therapist | 1282 Walnut St, Dawson, MN 56232-2333 | 2007-01-08 |
1861554073 | Ayaz Virji | Family Medicine | 1282 Walnut St, Dawson, MN 56232-2333 | 2006-12-14 |
1871653758 | Larry Jay Grong | Internal Medicine | 1282 Walnut St, Dawson, MN 56232 | 2006-12-11 |
1861506354 | Johnson Memorial Health Services | Skilled Nursing Facility | 1282 Walnut St, Dawson, MN 56232 | 2006-08-19 |
1093745051 | Johnson Memorial Health Services | General Acute Care Hospital | 1282 Walnut St, Dawson, MN 56232-2333 | 2006-07-04 |
1295761641 | Utpal U Chakravorty | Family Medicine | 1282 Walnut St, Dawson, MN 56232-2333 | 2006-06-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689002933 | Dawson Drug Pllc | Pharmacy | 812 6th St., Dawson, MN 56232 | 2013-10-24 |
1770623217 | Divine House II Inc. | Intermediate Care Facility, Mentally Retarded | 2974 192nd St, Dawson, MN 56232 | 2007-02-07 |
1942395702 | Jorzach Inc | Optometrist | 878 6th St, Dawson, MN 56232 | 2006-10-04 |
1215077755 | Facing New Horizons, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2974 192nd St, Dawson, MN 56232 | 2007-02-07 |
1649271644 | Vernon J Anderson | Chiropractor | 653 Chestnut St, Dawson, MN 56232-0272 | 2005-08-02 |
1164540910 | Thomas Walter Hansen | Dentist | 792 6th St, Dawson, MN 56232-0456 | 2007-03-27 |
1700874005 | Stephen John Morris | Dentist | 737 Pine St, Dawson, MN 56232-1008 | 2005-10-11 |
1538395124 | Sonshine Home Health Care LLC | Nursing Care | 1313 Spruce St, Dawson, MN 56232-2259 | 2009-06-09 |
1104930692 | Johnson Memorial Health Services | Home Health | 1290 Locust St, Dawson, MN 56232-2326 | 2006-08-19 |
1740602499 | Johnson Memorial Health Services | Assisted Living Facility | 1255 Walnut St, Dawson, MN 56232-2333 | 2014-01-15 |
Find all providers in zip 56232 |
Taxonomy Code | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881039659 | Metropolitan Health Medical Center | Medicare Defined Swing Bed Unit | 3055 Old Highway 8 Ste 2, St Anthony, MN 55418-2500 | 2013-05-07 |
1952359614 | Centracare Health System - Long Prairie | Medicare Defined Swing Bed Unit | 50 Centracare Dr, Long Prairie, MN 56347 | 2006-05-05 |
1952370348 | City of Sleepy Eye | Medicare Defined Swing Bed Unit | 400 4th Ave Nw, Sleepy Eye, MN 56085-1109 | 2006-03-16 |
1932738218 | Essentia Health Moose Lake | Medicare Defined Swing Bed Unit | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-04-07 |
1578106498 | Avera Granite Falls | Medicare Defined Swing Bed Unit | 345 10th Ave, Granite Falls, MN 56241-1442 | 2019-10-23 |
1285116061 | Carris Health - Redwood LLC | Medicare Defined Swing Bed Unit | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-08-29 |
1578078036 | Winona Health Services | Medicare Defined Swing Bed Unit | 855 Mankato Ave, Winona, MN 55987-4868 | 2017-12-06 |
1649705690 | Stevens Community Medical Center Inc | Medicare Defined Swing Bed Unit | 400 E. 1st Street, Morris, MN 56267 | 2017-04-27 |
1316374978 | Bridges Medical Center | Medicare Defined Swing Bed Unit | 201 9th St W, Ada, MN 56510-1279 | 2013-09-27 |
1457786972 | Centracare Health-paynesville LLC | Medicare Defined Swing Bed Unit | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-09-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.