Organization
JOHNSON MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON CADWALLADER MD (MEDICAL DIRECTOR)
(317) 346-7929
Entity
Organization
Contact information
Practice address
214 CRENSHAW DR, SAINT PAUL, IN 47272-9435
(812) 593-5903
Mailing address
214 CRENSHAW DR, SAINT PAUL, IN 47272-9435
(812) 593-5903
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
71006159A
IN
Other
Enumeration date
03/27/2016
Last updated
03/27/2016
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