The Waters Of Peru Skilled Nursing Facility
LBN: Johnson Memorial Hospital
The Waters Of Peru Skilled Nursing Facility is an health care organization with primary practice located at 317 Blair Pike , Peru IN 46970-1507. 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 (765) 473-4426, or through Dunkle, David via phone (317) 736-3396.
Contact Information
Primary practice address
317 Blair Pike
Peru IN 46970-1507
Phone: (765) 473-4426
Fax: (765) 472-7609
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 05-000014-1 | Indiana |
Suppliers / Nursing Facility Supplies | 332BN1400X | ||
Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | Indiana |
Profile Details
NPI number | 1427079565 |
---|---|
LBN Legal business name | Johnson Memorial Hospital |
DBA Doing business as | The Waters Of Peru Skilled Nursing Facility |
Authorized official | Dunkle, David Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 22nd, 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 | 1427079565 | NPPES |
Indiana | MEDICAID | 100288670A |
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