Organization
JOHNSON MEMORIAL HOSPITAL
Active
Other names
The Waters of Peru Skilled Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DUNKLE MD (PRESIDENT/CEO)
(317) 736-3396
Entity
Organization
Contact information
Practice address
317 BLAIR PIKE, PERU, IN 46970-1507
(765) 473-4426
(765) 472-7609
Mailing address
1125 W JEFFERSON ST, FRANKLIN, IN 46131-2140
(317) 736-3396
(317) 736-2692
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05-000014-1
IN
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100288670A
—
IN
Enumeration date
07/22/2006
Last updated
01/30/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us