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Johnson Memorial Hospital
Parenteral & Enteral Nutrition Supplies (DME) in Portage, Indiana
NPI 1669495008

Johnson Memorial Hospital is a Parenteral & Enteral Nutrition Supplies (DME) based in Franklin, IN and is specialized in Parenteral & Enteral Nutrition. Johnson Memorial Hospital practices in Portage, IN. The NPI Number for Johnson Memorial Hospital is 1669495008 and holds a License No. 06-000196-1 (Indiana).

The current practice location address for Johnson Memorial Hospital is 5909 Lute Rd, Portage, IN and can be reached out via phone at 219-763-2273 and via fax at 219-764-0170.

Location: 5909 Lute Rd, Portage, IN, 46131-2140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669495008
Provider Name
Johnson Memorial Hospital
Credential
Provider Entity Type
Organization
Address
5909 Lute Rd, Portage, IN, 46131-2140
Phone Number
219-763-2273
Fax Number
219-764-0170
Provider Enumeration Date
07/26/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100267390A 05 IN
institution
Provider Business Practice Location Address Details
Address
5909 Lute Rd
City
Portage
State
Indiana
Zip
46368-4824
Phone Number
219-763-2273
Fax Number
219-764-0170
person
Provider Business Mailing Address Details
Address
5909 Lute Rd
City
Portage
State
Indiana
Zip
46368-4824
Phone Number
219-763-2273
Fax Number
219-764-0170
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
(Indiana)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
06-000196-1 (Indiana)
Definition
Definition to come...
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