The Waters Of Wabash Skilled Nursing Facility West
LBN: Johnson Memorial Hospital
The Waters Of Wabash Skilled Nursing Facility West is an health care organization with primary practice located at 1720 Alber St , Wabash IN 46992-1015. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Johnson Memorial Hospital can be contacted via phone (260) 563-4112, or through Dunkle, David via phone (317) 736-3396.
Contact Information
Primary practice address
1720 Alber St
Wabash IN 46992-1015
Phone: (260) 563-4112
Fax: (260) 563-5611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 05-000578-1 | Indiana |
| Suppliers / Nursing Facility Supplies | 332BN1400X | ||
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | Indiana |
Profile Details
| NPI number | 1144236415 |
|---|---|
| LBN Legal business name | Johnson Memorial Hospital |
| DBA Doing business as | The Waters Of Wabash Skilled Nursing Facility West |
| Authorized official | Dunkle, David Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jan 30th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144236415 | NPPES |
| Indiana | MEDICAID | 100267810A |
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