# JOHNSON MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GREENWOOD VILLAGE SOUTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790776128
- **Authorized official:** MR. STEVEN J BERKHOUSE (CFO)
- **Authorized official phone:** (317) 346-7939

## Contact information

- **Practice address:** 295 VILLAGE LN, GREENWOOD, IN 46143-2440
- **Practice address phone:** (317) 865-4654
- **Practice address fax:** (317) 859-4436
- **Mailing address:** 295 VILLAGE LN, GREENWOOD, IN 46143-2440
- **Mailing address phone:** (317) 865-4654
- **Mailing address fax:** (317) 859-4436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 04-000010-1 | IN | — |
| 314000000X | Skilled Nursing Facility | 16-000010-1 | IN | Yes |

## Other

- **Enumeration date:** 11/03/2005
- **Last updated:** 01/27/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1000453660 | — | IN |