# JOHNSON MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Miller's Merry Manor, MILLERS MERRY MANOR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215111067
- **Authorized official:** ADAM B PUTVIN (CFO)
- **Authorized official phone:** (317) 736-3300

## Contact information

- **Practice address:** 505 N BRADNER AVE, MARION, IN 46952-2449
- **Practice address phone:** (765) 662-3981
- **Practice address fax:** (765) 662-3987
- **Mailing address:** 1125 W JEFFERSON ST, FRANKLIN, IN 46131-2765
- **Mailing address phone:** (317) 736-3300
- **Mailing address fax:** (317) 736-2692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 070000891 | IN | Yes |

## Other

- **Enumeration date:** 12/27/2007
- **Last updated:** 10/27/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100287760A | — | IN |