Organization Name: | JOHNSON MEMORIAL HOSPITAL |
NPI Number: | 1003838194 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY HEYDON (CEO) |
Mailing Address: | 505 West Wolfe Street Sullivan |
State: | IN US |
Postal Code: | 47882 |
Phone Number: | 8122686361 |
Fax Number: | 8122684454 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 01/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BN1400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Nursing Facility Supplies |
Taxonomy Definition: |