Organization
PUTNAM COUNTY HOSPITAL
Active
Other names
Family Medicine of Cloverdale
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE A BATTIN (OFFICE MANAGER)
(765) 795-4242
Entity
Organization
Contact information
Practice address
51 E MARKET ST, CLOVERDALE, IN 46120-8427
(765) 795-4242
(765) 795-4456
Mailing address
PO BOX 508, CLOVERDALE, IN 46120-0508
(765) 795-4242
(765) 795-4456
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100268700F
—
IN
Enumeration date
12/05/2006
Last updated
06/18/2013
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