Organization Active NPI

Johnson Memorial Hospital

  • General Acute Care Hospital
  • Saint Paul, IN
National Provider Identifier
1487016549
Registry record updated Mar 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
71006159A Issued in IN
Legal business name
JOHNSON MEMORIAL HOSPITAL
Practice address
214 Crenshaw Dr
Saint Paul, IN 47272-9435
Phone
(812) 593-5903
NPI assigned
Mar 27, 2016
Last updated
Mar 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jason Cadwallader, MD
Title
Medical Director
Phone
(317) 346-7929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 71006159A IN Primary

Addresses

Primary practice location

214 Crenshaw Dr
Saint Paul, IN 47272-9435

Mailing address

214 Crenshaw Dr
Saint Paul, IN 47272-9435
Phone (812) 593-5903

National Provider Directory

National Provider Directory
Tax ID family
Johnson Memorial Hospital Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459036800000",
    "number": "1487016549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CRENSHAW DR",
            "city": "SAINT PAUL",
            "state": "IN",
            "postal_code": "472729435",
            "telephone_number": "812-593-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CRENSHAW DR",
            "city": "SAINT PAUL",
            "state": "IN",
            "postal_code": "472729435",
            "telephone_number": "812-593-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-27",
        "last_updated": "2016-03-27",
        "status": "A",
        "authorized_official_last_name": "CADWALLADER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "317-346-7929",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "71006159A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2016; 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.