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Organization
PUTNAM COUNTY HOSPITAL
Active
Organization
PUTNAM COUNTY HOSPITAL
Active
Other names
Wellbrooke of Avon
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS WEATHERFORD (PRESIDENT AND CEO)
(765) 655-2620
Entity
Organization
Contact information
Practice address
10307 E COUNTY ROAD 100 N, INDIANAPOLIS, IN 46234-1250
(317) 273-2144
(515) 875-4780
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
013085
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201279600A
—
IN
Enumeration date
07/12/2013
Last updated
02/02/2016
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