Organization
JOHNSON MEMORIAL HOSPITAL
Active
Other names
GREENWOOD VILLAGE SOUTH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN J BERKHOUSE (CFO)
(317) 346-7939
Entity
Organization
Contact information
Practice address
295 VILLAGE LN, GREENWOOD, IN 46143-2440
(317) 865-4654
(317) 859-4436
Mailing address
295 VILLAGE LN, GREENWOOD, IN 46143-2440
(317) 865-4654
(317) 859-4436
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
04-000010-1
IN
314000000X
Skilled Nursing Facility
Primary
16-000010-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000453660
—
IN
Enumeration date
11/03/2005
Last updated
01/27/2022
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