MEDICARE: JOHNSON MEMORIAL HOSPITAL

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
1	261QU0200X	Urgent Care Clinic/Center
2	261QX0100X	Occupational Medicine Clinic/Center

General Provider Information

NPI Number	:	1679577357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNSON MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX 314
Second Line	:
City	:	FRANKLIN
State	:	IN
Zip	:	46131-0314
Country	:	US
Telephone Number	:	317-346-2273
Fax Number	:	317-738-7850

Provider Business Practice Location Address
First Line	:	2085 ACORN BLVD
Second Line	:
City	:	FRANKLIN
State	:	IN
Zip	:	46131-7306
Country	:	US
Telephone Number	:	317-346-2273
Fax Number	:	317-738-7850

Authorized Official
Title or Position	:	CFO
Name	:	ADAM B PUTVIN
Credential	:
Telephone Number	:	317-736-3300

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	10/22/2025

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