Organization
PUTNAM COUNTY HOSPITAL
Active
Organization
PUTNAM COUNTY HOSPITAL
Active
Other names
Johnson Nichols Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER S BORUFF (AUTHORIZED OFFICIAL)
(765) 655-2620
Entity
Organization
Contact information
Practice address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
(765) 653-6171
Mailing address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
(765) 653-6171
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
02/15/2018
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