# PUTNAM COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harrison's Crossing Health Campus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194121079
- **Authorized official:** DENNIS WEATHERFORD (PRESIDENT & CEO)
- **Authorized official phone:** (765) 655-2620

## Contact information

- **Practice address:** 395 8TH AVE, TERRE HAUTE, IN 47804-4064
- **Practice address phone:** (812) 234-7111
- **Mailing address:** PO BOX 221648, LOUISVILLE, KY 40252-1648
- **Mailing address phone:** (502) 412-5847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2014
- **Last updated:** 09/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201290670A | — | IN |
