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Organization

JOHNSON MEMORIAL HOSPITAL

Active
Other names
The Waters of Hartford City 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
548 S 100 W, HARTFORD CITY, IN 47348-9507
(765) 348-1072
(765) 348-4628
Mailing address
1125 W JEFFERSON ST, FRANKLIN, IN 46131-2140
(317) 736-7549
(317) 736-2692

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05-000289-1
IN
332BN1400X
Nursing Facility Supplies (DME)
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100289460A
IN
Enumeration date
07/26/2006
Last updated
01/30/2023
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