JOHNSON MEMORIAL HOSPITAL (NPI# 1467452326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467452326 |
| Entity Type | Organization |
| Organization Name | JOHNSON MEMORIAL HOSPITAL |
| Other Organization Name | TODD AIKENS HEALTH CENTER |
| Practice Address |
1125 W Jefferson St Franklin IN 46131-2140 |
| Practice Telephone | 3177387878 |
| Practice Fax Number | 3177387872 |
| Mailing Telephone | 3177387878 |
| Mailing Fax Number | 3177387872 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | L INEZ DAILEY (DIRECTOR PATIENT ACCOUNTS) |
| Authorized Official Telephone | 3177387878 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 313M00000X | Nursing Facility/Intermediate Care Facility | 005001 | IN | Nursing & Custodial Care Facilities |
| X | 314000000X | Skilled Nursing Facility | 005001 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000097844 | 01 |
| Other Name | Type Code |
|---|---|
| TODD AIKENS HEALTH CENTER | 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 |
1125 W JEFFERSON ST |
| City | FRANKLIN |
| State | IN |
| Zip Code | 46131-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248986 | Johnson Memorial Hospital | Pharmacy | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2005-07-08 |
| 1205450152 | Molly Anne Oriley | Nurse Anesthetist, Certified Registered | 1125 W Jefferson St, Franklin, IN 46131-2765 | 2020-06-05 |
| 1457973901 | Chelsea Denardin | Pharmacist | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2020-05-07 |
| 1376187989 | Michelle Tartaglia | Physician Assistant | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2019-11-06 |
| 1770133621 | Tyrone Maurice Buckingham | Pharmacist | 1125 W Jefferson St, Pharmacy, Franklin, IN 46131-2140 | 2019-09-12 |
| 1053972331 | Johnson Memorial Health Physician Network, LLC | Obstetrics & Gynecology | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2019-06-26 |
| 1528552361 | Heidi Smith | Nurse Practitioner | 1125 W Jefferson St, Franklin, IN 46131 | 2018-06-15 |
| 1164973665 | Beverly Lynn Bragg | Nurse Practitioner | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2016-10-19 |
| 1902279870 | Aspen Leaf Emergency Physicians, LLC | Physician Assistant | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2015-11-02 |
| 1023486479 | Erica Smith | Physical Therapist | 1125 W Jefferson St, Franklin, IN 46131-2140 | 2015-09-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134607161 | Eric P. Lefave | Student in an Organized Health Care Education/Training Program | 101 Branigin Rd, Franklin, IN 46131 | 2018-08-01 |
| 1821512500 | Cameron Greene | Specialist/Technologist | 198 Cemetery Hill Rd., Franklin, IN 46131 | 2017-08-03 |
| 1912421694 | Lauryn Kendyl Darnall | Specialist/Technologist | 1041 West Jefferson St. Apt 2, Franklin, IN 46131 | 2017-08-03 |
| 1124578893 | Chantel Paul | Specialist/Technologist | 1709 Traditions Ct, Franklin, IN 46131 | 2016-10-06 |
| 1710386834 | Rhonda A. Thorne Miller | Occupational Therapist | Accord Children's Therapy, 1176 N Main St., Franklin, IN 46131 | 2014-08-14 |
| 1124466131 | Addiction Care Interventions Inc | Community/Behavioral Health | 550 E. Jefferson Ave., Suite 101, Franklin, IN 46131 | 2013-06-12 |
| 1821361718 | Diane M Christensen | Occupational Therapist | 1125 West Jefferson St, Franklin, IN 46131 | 2012-02-23 |
| 1902189764 | Kenneth Paul Reeves | Pharmacist | 20 N. Morton St., Franklin, IN 46131 | 2011-09-27 |
| 1780993402 | Amanda Marie Dininger | Optometrist | 460 N Morton St Ste D, Franklin, IN 46131 | 2010-09-29 |
| 1922293448 | Assisted Living Concepts Inc | Assisted Living Facility | 1435 Christian Blvd, Franklin, IN 46131 | 2007-09-07 |
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| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871718700 | Abilities First | Nursing Facility/Intermediate Care Facility | 887 N Main St, Franklin, OH 45005-1648 | 2007-04-16 |
| 1710022892 | Franklin Home for The Aged Assoc. | Nursing Facility/Intermediate Care Facility | 24 Peabody Pl, Franklin, NH 03235-1607 | 2007-02-20 |
| 1326064882 | Hancock Regional Hospital | Nursing Facility/Intermediate Care Facility | 1070 W Jefferson St, Franklin, IN 46131-2179 | 2006-07-15 |
| 1700886868 | Harpeth Terrace Convalescent Center | Nursing Facility/Intermediate Care Facility | 1287 W Main St, Franklin, TN 37064-3333 | 2005-07-29 |
| 1780847723 | Classic Healthcare Systems, LLC | Nursing Facility/Intermediate Care Facility | 421 Mission Ln, Franklin, OH 45005-2327 | 2008-07-09 |
| 1235326661 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 3195 Old Murphy Rd, Franklin, NC 28734-7213 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871040659 | Stephanie Hentrup | Nursing Facility/Intermediate Care Facility | 621 E 20th St, Ferdinand, IN 47532-9220 | 2016-09-08 |
| 1912354630 | Denise Chambery | Nursing Facility/Intermediate Care Facility | 5707 W 122nd Pl, Crown Point, IN 46307-8778 | 2016-05-23 |
| 1124494760 | Maplemanor Christian Home, Inc. | Nursing Facility/Intermediate Care Facility | 643 W Utica St, Sellersburg, IN 47172-1163 | 2015-08-18 |
| 1174868822 | Daviess County Hospital | Nursing Facility/Intermediate Care Facility | 120 East Miller Drive, Bloomington, IN 47407-6538 | 2012-12-06 |
| 1134493281 | Adams County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 9802 Coldwater Road, Fort Wayne, IN 46825 | 2012-03-06 |
| 1447481049 | Larry Wayne Sims | Nursing Facility/Intermediate Care Facility | 1236 Lincoln Ave, Evansville, IN 47714-1056 | 2009-07-30 |
| 1720253313 | Davis Elderly Care, LLC | Nursing Facility/Intermediate Care Facility | 5139 S Hanover Saluda Rd, Hanover, IN 47243-9212 | 2008-04-24 |
| 1750585766 | Gosport Care, Inc. | Nursing Facility/Intermediate Care Facility | 27 S. 7th St., Gosport, IN 47433-0099 | 2007-06-13 |
| 1790986792 | Evansville Protestant Home Inc. | Nursing Facility/Intermediate Care Facility | 3701 Washington Ave, Evansville, IN 47714-0544 | 2007-05-29 |
| 1881816148 | Pulaski Memorial Hospital | Nursing Facility/Intermediate Care Facility | 505 North Gavin Street, Muncie, IN 47303 | 2007-05-03 |
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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.