Organization Name: | JOHNSON MEMORIAL HOSPITAL. |
NPI Number: | 1427071687 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY HEYDON (CEO) |
Mailing Address: | 220 E Dunn Road New Carlisle |
State: | IN US |
Postal Code: | 46552 |
Phone Number: | 5746547244 |
Fax Number: | 5746548283 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 12/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |