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Organization
PUTNAM COMMUNITY MEDICAL CENTER LLC
Active
Organization
PUTNAM COMMUNITY MEDICAL CENTER LLC
Active
Other names
Putnam Community Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J. BIVACCA (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
611 ZEAGLER DR, PALATKA, FL 32177-3810
(386) 328-5711
(386) 325-8178
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
4350
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011351400
—
FL
Enumeration date
08/23/2006
Last updated
04/09/2014
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