| Organization Name: | JOHNSON MEMORIAL HOSPITAL |
| NPI Number: | 1194747287 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY HEYDON (CEO) |
| Mailing Address: | 7440 N County Road 825 E Hope |
| State: | IN US |
| Postal Code: | 472469702 |
| Phone Number: | 8125464416 |
| Fax Number: | 8125460664 |
| NPI Enumeration Date: | 07/24/2006 |
| NPI Last Update Date: | 12/08/2015 |
| 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: | |