Organization
PUTNAM COMMUNITY MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD J. BIVACCA (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
611 ZEAGLER DR, PALATKA, FL 32177-3810
(386) 328-5711
(386) 325-8178
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
07/28/2014
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