JOHNSON MEMORIAL HEALTH SERVICES (NPI# 1861506354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861506354 |
| Entity Type | Organization |
| Organization Name | JOHNSON MEMORIAL HEALTH SERVICES |
| Other Organization Name | JOHNSON MEMORIAL NURSING HOME |
| Practice Address |
1282 Walnut St Dawson MN 56232 |
| Mailing Address |
1282 Walnut St Dawson MN 56232-2333 |
| Practice Telephone | 3207694323 |
| Practice Fax Number | 3207694878 |
| Mailing Telephone | 3207694323 |
| Mailing Fax Number | 3207694878 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-06-15 |
| Authorized Official Name | SARA JOHNSON (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 3203122118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 329987 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 808845400 | 05 |
| Other Name | Type Code |
|---|---|
| Johnson Memorial Nursing Home | 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 |
| 1770697260 | Johnson Memorial Health Services | Medicare Defined Swing Bed Unit | 1282 Walnut St, Dawson, MN 56232-2333 | 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 |
| 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 |
| 1770697260 | Johnson Memorial Health Services | Medicare Defined Swing Bed Unit | 1282 Walnut St, Dawson, MN 56232-2333 | 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 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1841238326 | Dawson Manor Nursing Home LLC | Skilled Nursing Facility | 1159 Georgia Ave Se, Dawson, GA 39842 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707177 | Prairie Bluffs Rehabilitation Center LLC | Skilled Nursing Facility | 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 | 2020-03-30 |
| 1881221869 | Natalie Sears | Skilled Nursing Facility | 1200 Cheri Ln Ne Apt 5, Fridley, MN 55421-1213 | 2020-03-26 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1144707811 | Victory Health Operations, LLC | Skilled Nursing Facility | 512 - 49th Avenue North, Minneapolis, MN 55430-3621 | 2018-07-25 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1457863466 | Seasons Healthcare of Trimont, Inc | Skilled Nursing Facility | 305 Broadway Avenue South, Trimont, MN 56176 | 2017-10-31 |
| 1760903157 | St. John's Lutheran Home | Skilled Nursing Facility | 1771 Eagle View Cir, Albert Lea, MN 56007-1817 | 2017-07-06 |
| 1114458221 | Lakeland Homecare LLC | Skilled Nursing Facility | 1604 Covington Ln, Eagan, MN 55122-2759 | 2017-03-22 |
| 1952842197 | Nsh Rochester East LLC | Skilled Nursing Facility | 501 8th Ave Se, Rochester, MN 55904-4834 | 2017-03-20 |
| 1750827234 | Walker Operations LLC | Skilled Nursing Facility | 209 Birchwood Avenue West, Walker, MN 56484 | 2017-01-09 |
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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.