Organization
PUTNAM COUNTY HOSPITAL
Active
Other names
Wellbrooke of Avon
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS WEATHERFORD (PRESIDENT AND CEO)
(765) 655-2620
Entity
Organization
Contact information
Practice address
10307 E COUNTY ROAD 100 N, INDIANAPOLIS, IN 46234-1250
(317) 273-2144
(515) 875-4780
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
013085
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201279600A
—
IN
Enumeration date
07/12/2013
Last updated
02/02/2016
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