Healthcare Provider Details

I. General information

NPI: 1346248986
Provider Name (Legal Business Name): JOHNSON MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 W JEFFERSON ST
FRANKLIN IN
46131-2140
US

IV. Provider business mailing address

1125 W JEFFERSON ST
FRANKLIN IN
46131-2140
US

V. Phone/Fax

Practice location:
  • Phone: 317-736-3300
  • Fax: 317-738-7872
Mailing address:
  • Phone: 317-736-3858
  • Fax: 317-738-7872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number60000316B
License Number StateIN
# 5
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number14-005001-1
License Number StateIN

VIII. Authorized Official

Name: ADAM B PUTVIN
Title or Position: CFO
Credential:
Phone: 317-736-3300