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NPI Code Detail

MEDICARE: JOHNSON MEMORIAL HOSPITAL HEALTH AFFILIATES

MEDICARE: JOHNSON MEMORIAL HOSPITAL HEALTH AFFILIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant1001836AIN

General Provider Information

NPI Number : 1477933398
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHNSON MEMORIAL HOSPITAL HEALTH AFFILIATES
Provider Business Mailing Address
First Line : 1155 W JEFFERSON ST STE 202
Second Line :
City : FRANKLIN
State : IN
Zip : 46131-2732
Country : US
Telephone Number : 317-346-3883
Fax Number : 317-346-3141
Provider Business Practice Location Address
First Line : 1155 W JEFFERSON ST STE 202
Second Line :
City : FRANKLIN
State : IN
Zip : 46131-2732
Country : US
Telephone Number : 317-346-3883
Fax Number : 317-346-3141
Authorized Official
Title or Position : CFO
Name : LIZ HEDDEN
Credential :
Telephone Number : 317-736-3396
Provider Enumeration Date : 06/05/2015
Last Update Date : 06/05/2015

Similar Medicare Providers

1851702989 — VIRALI PATEL M.D
Practice Location Address:
1155 W JEFFERSON ST STE 202
FRANKLIN, IN
46131-2732
Practice Phone: 317-346-3883
Practice Fax: 317-346-3141
1154321099 — JOHNSON MEMORIAL HOSPITAL
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1023045838 — MICHAEL D YOUNG MD
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Practice Fax: 317-346-3141
1285668640 — DAVID A KRISTO M.D.
Practice Location Address:
1155 W JEFFERSON STREET , SUITE 202
FRANKLIN, IN
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Practice Fax: 317-346-3141
1225130610 — GASTON DANA DO
Practice Location Address:
1155 W JEFFERSON ST STE 202
FRANKLIN, IN
46131-2732
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1972858025 — GRANT C WALKER PA
Practice Location Address:
1155 W JEFFERSON ST STE 202
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Directions to “JOHNSON MEMORIAL HOSPITAL HEALTH AFFILIATES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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