Organization
PUTNAM COUNTY HOSPITAL
Active
Other names
Williamsburg Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS WEATHERFORD (CEO)
(765) 655-2620
Entity
Organization
Contact information
Practice address
1609 LAFAYETTE RD, CRAWFORDSVILLE, IN 47933-1032
(765) 364-0363
(765) 362-2436
Mailing address
1609 LAFAYETTE RD, CRAWFORDSVILLE, IN 47933-1032
(765) 364-0363
(765) 362-2436
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
14-000162-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100284300
—
IN
Enumeration date
07/19/2006
Last updated
06/04/2014
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