Organization
PUTNAM COUNTY HOSPITAL
Active
Other names
Elwood Health and Living
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS A. WEATHERFORD (CEO)
(765) 301-7300
Entity
Organization
Contact information
Practice address
2300 PARKVIEW LN, ELWOOD, IN 46036-1378
(765) 552-9884
(765) 552-1304
Mailing address
1542 S. BLOOMINGTON STREET, GREENCASTLE, IN 46135-2212
(765) 301-7525
(765) 301-7539
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060003721
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000098068
ANTHEM
IN
05
—
100289060B
—
IN
Enumeration date
09/26/2006
Last updated
04/22/2019
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