Greenwood Village South

LBN: Johnson Memorial Hospital
Greenwood Village South is an health care organization with primary practice located at 295 Village Ln , Greenwood IN 46143-2440. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Johnson Memorial Hospital can be contacted via phone (317) 865-4654, or through Berkhouse, Steven J via phone (317) 346-7939.

Contact Information

Primary practice address
295 Village Ln Greenwood IN 46143-2440
Phone: (317) 865-4654
Fax: (317) 859-4436
Website:
Map and Directions
Authorized official contact:
Name: Berkhouse, Steven J
Phone: (317) 346-7939

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 04-000010-1 Indiana
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 16-000010-1 Indiana

Profile Details

NPI number 1790776128
LBN Legal business name Johnson Memorial Hospital
DBA Doing business as Greenwood Village South
Authorized official Berkhouse, Steven J
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2005
Last updated Jan 27th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790776128 NPPES
Indiana MEDICAID 1000453660

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