Organization
PUTNAM COUNTY HOSPITAL
Active
Other names
Vernon Manor Childrens Home
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA CAMPBELL (ACCOUNTS RECEIVABLE MANAGER)
(859) 255-0075
Entity
Organization
Contact information
Practice address
1955 VERNON ST, WABASH, IN 46992-4026
(260) 563-8438
(260) 563-8094
Mailing address
1050 CHINOE RD, STE 350, LEXINGTON, KY 40502-6571
(859) 255-0075
(859) 281-5150
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
050002741
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100271660A
—
IN
Enumeration date
09/12/2005
Last updated
11/11/2015
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