# PUTNAM COMMUNITY MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Putnam Community Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760599286
- **Authorized official:** DONALD J. BIVACCA (PRESIDENT)
- **Authorized official phone:** (615) 920-7000

## Contact information

- **Practice address:** 611 ZEAGLER DR, PALATKA, FL 32177-3810
- **Practice address phone:** (386) 328-5711
- **Practice address fax:** (386) 325-8178
- **Mailing address:** 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
- **Mailing address phone:** (615) 920-7000
- **Mailing address fax:** (615) 920-8913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 4350 | FL | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 04/09/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 011351400 | — | FL |