Johnson Memorial Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

329876 Issued in MN

Legal business name

JOHNSON MEMORIAL HEALTH SERVICES

Practice address

1290 Locust St
Dawson, MN 56232-2326

Phone

(320) 769-4323

Fax

(320) 769-2972

NPI assigned

Aug 19, 2006

Organization subpart

No

Name

Sara Johnson

Title

Business Office Manager

Phone

(320) 312-2118

Locations

• Johnson Memorial Home Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 29, 2019.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1104930692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 WALNUT ST",
            "city": "DAWSON",
            "state": "MN",
            "postal_code": "562322333",
            "telephone_number": "320-769-4323",
            "fax_number": "320-769-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 LOCUST ST",
            "city": "DAWSON",
            "state": "MN",
            "postal_code": "562322326",
            "telephone_number": "320-769-4323",
            "fax_number": "320-769-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON MEMORIAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "320-312-2118"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "329876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808845400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Memorial Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Jay Grong, D.O.
• Thomas Walter Hansen, DDS
• Lindsey Anne Hanson, M.D., M.P.H
• Kase Allen Jacobs
• Johnson Memorial Health Services
• Johnson Memorial Health Services
• Johnson Memorial Health Services
• Johnson Memorial Health Services
• Johnson Memorial Health Services
• Jorzach Inc

• All providers in Dawson, MN
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.