# PUTNAM COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Richland Bean Blossom Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659366128
- **Authorized official:** BRENDA CAMPBELL (ACCOUNTS RECEIVABLE MANAGER)
- **Authorized official phone:** (859) 255-0075

## Contact information

- **Practice address:** 5911 W STATE ROAD 46, BLOOMINGTON, IN 47404-9359
- **Practice address phone:** (812) 876-6400
- **Practice address fax:** (812) 876-1122
- **Mailing address:** 1050 CHINOE RD, SUITE 350, LEXINGTON, KY 40502-6571
- **Mailing address phone:** (859) 255-0075
- **Mailing address fax:** (859) 281-5150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 040005581 | IN | Yes |

## Other

- **Enumeration date:** 09/12/2005
- **Last updated:** 12/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100267550A | — | IN |