# PUTNAM COUNTY HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Randolph Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841285913
- **Authorized official:** DENNIS WEATHERFORD (CEO)
- **Authorized official phone:** (765) 301-7531

## Contact information

- **Practice address:** 701 S OAK ST, WINCHESTER, IN 47394-2229
- **Practice address phone:** (765) 584-2201
- **Practice address fax:** (859) 281-5150
- **Mailing address:** 701 S OAK ST, WINCHESTER, IN 47394-2229
- **Mailing address phone:** (765) 584-2201
- **Mailing address fax:** (765) 584-1324

## Taxonomy

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

## Other

- **Enumeration date:** 09/15/2005
- **Last updated:** 10/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100275450A | — | IN |