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Organization
PUTNAM COUNTY HOSPITAL
Active
Organization
PUTNAM COUNTY HOSPITAL
Active
Other names
Richland Bean Blossom Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA CAMPBELL (ACCOUNTS RECEIVABLE MANAGER)
(859) 255-0075
Entity
Organization
Contact information
Practice address
5911 W STATE ROAD 46, BLOOMINGTON, IN 47404-9359
(812) 876-6400
(812) 876-1122
Mailing address
1050 CHINOE RD, SUITE 350, LEXINGTON, KY 40502-6571
(859) 255-0075
(859) 281-5150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
040005581
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267550A
—
IN
Enumeration date
09/12/2005
Last updated
12/21/2015
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