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Organization
PUTNAM COUNTY HOSPITAL
Active
Organization
PUTNAM COUNTY HOSPITAL
Active
Other names
Randolph Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS WEATHERFORD (CEO)
(765) 301-7531
Entity
Organization
Contact information
Practice address
701 S OAK ST, WINCHESTER, IN 47394-2229
(765) 584-2201
(859) 281-5150
Mailing address
701 S OAK ST, WINCHESTER, IN 47394-2229
(765) 584-2201
(765) 584-1324
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100275450A
—
IN
Enumeration date
09/15/2005
Last updated
10/06/2020
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