JOHNSON MEMORIAL HOSPITAL (NPI# 1780605824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780605824 |
| Entity Type | Organization |
| Organization Name | JOHNSON MEMORIAL HOSPITAL |
| Other Organization Name | MILLER'S MERRY MANOR |
| Practice Address |
500 Walkerton Trl Walkerton IN 46574-1300 |
| Mailing Address |
1125 W Jefferson St Franklin IN 46131-2140 |
| Practice Telephone | 5745863133 |
| Practice Fax Number | 5745867629 |
| Mailing Telephone | 3177367549 |
| Mailing Fax Number | 3177362692 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | MR. ADAM PUTVIN (CFO) |
| Authorized Official Telephone | 3173467939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
IN | Suppliers | |
| Y | 314000000X | Skilled Nursing Facility | 06-000431-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100290380A | 05 |
| Other Name | Type Code |
|---|---|
| Miller's Merry Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487016549 | Johnson Memorial Hospital | General Acute Care Hospital | 214 Crenshaw Dr, Saint Paul, IN 47272-9435 | 2016-03-27 |
| 1144627977 | Johnson Memorial Hospital | Skilled Nursing Facility | 411 N Wolf Rd, Columbia City, IN 46725-8733 | 2014-11-21 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1144236415 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 1720 Alber St, Wabash, IN 46992-1015 | 2006-07-31 |
| 1982627329 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 200 26th St, Logansport, IN 46947-2063 | 2006-07-26 |
| 1508889940 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 548 S 100 W, Hartford City, IN 47348-9507 | 2006-07-26 |
| 1669495008 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 5909 Lute Rd, Portage, IN 46368-4824 | 2006-07-26 |
| 1134142573 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 612 E 11th St, Rushville, IN 46173-1319 | 2006-07-26 |
| 1437172871 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 2901 W 37th Ave, Hobart, IN 46342-1727 | 2006-07-26 |
| 1952324394 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 524 Anderson Rd, Chesterfield, IN 46017-1514 | 2006-07-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JOHNSON MEMORIAL HOSPITAL | 1125 W Jefferson St, Franklin, IN 46131-2140 |
| Connecticut Business Registrations | Johnson Memorial Hospital Auxiliary, Inc. | One Financial Plaza, Hartford, CT 06103 |
| Connecticut Business Registrations | JOHNSON MEMORIAL HOSPITAL, INC. | 201 Chestnut Hill Road, Stafford Springs, CT 06076 |
| Street Address |
500 WALKERTON TRL |
| City | WALKERTON |
| State | IN |
| Zip Code | 46574-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063717916 | Jennifer Lynn Clingenpeel | Pharmacist | 28350 Rankert Rd, Walkerton, IN 46574 | 2011-01-24 |
| 1932320751 | Lisa K Allen | Chiropractor | 9970 E 750 N, Walkerton, IN 46574 | 2007-05-01 |
| 1275658056 | Glenn John Wisnieski | Dentist | 409 Roosevelt Rd, Walkerton, IN 46574 | 2007-03-20 |
| 1568405694 | Town of Walkerton | Ambulance | 506 Washington St, Walkerton, IN 46574-1006 | 2006-06-14 |
| 1518525971 | Lisa Ann Rizek | Specialist/Technologist | 507 Indiana St, Walkerton, IN 46574-1108 | 2019-05-31 |
| 1649381021 | Laporte Regional Physician Network | Internal Medicine | 506 Michigan St, Walkerton, IN 46574-1116 | 2006-08-31 |
| 1730368333 | Walkerton Polk Lincoln Ambulance Service | Ambulance | 510 Roosevelt Rd, Walkerton, IN 46574-1216 | 2007-10-31 |
| 1558464255 | Hook Superx LLC | Pharmacy | 300 Liberty St, Walkerton, IN 46574-1246 | 2006-09-07 |
| 1649828799 | Lindsey Marie Allen | Pharmacist | 300 Liberty St, Walkerton, IN 46574-1246 | 2019-09-02 |
| 1619523339 | David Henning | Pharmacist | 300 Liberty St, Walkerton, IN 46574-1246 | 2019-08-18 |
| Find all providers in zip 46574 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618956 | Empowerme Rehabilitation Illinois, LLC | Skilled Nursing Facility | 3203 E Moores Pike, Bloomington, IN 47401-7122 | 2020-10-29 |
| 1629698808 | Decatur County Memorial Hospital | Skilled Nursing Facility | 6712 Restoracy Drive, Whitestown, IN 46075-0089 | 2020-04-17 |
| 1922586510 | Aperion Care Marion LLC | Skilled Nursing Facility | 614 W 14th St, Marion, IN 46953-2158 | 2018-08-06 |
| 1427548270 | Vibra Rehabilitation Hospital of Southern Indiana, LLC | Skilled Nursing Facility | 3104 Blackiston Boulevard, New Albany, IN 47150-9579 | 2018-05-17 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1366974404 | Mika Riddle | Skilled Nursing Facility | 407 W Walnut St, Van Buren, IN 46991 | 2017-03-29 |
| 1245787076 | Sara Steffe | Skilled Nursing Facility | 1015 Virginia St, Ferdinand, IN 47532-9285 | 2016-09-09 |
| 1770030504 | Valerie Burdette | Skilled Nursing Facility | 1872 E County Road 825 S, Oakland City, IN 47660-8911 | 2016-09-09 |
| 1205286507 | Christina Basham | Skilled Nursing Facility | 710 Bluffview Dr, Angola, IN 46703-2206 | 2016-06-16 |
| 1164878583 | Good Samaritan Hospital | Skilled Nursing Facility | 811 E. Baseline Road, Evansville, IN 47725-9340 | 2016-05-05 |
| Find all providers with the same taxonomy | ||||
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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.