Organization
PUTNAM COUNTY HOSPITAL
Active
Other names
Richland Bean Blossom Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA CAMPBELL (ACCOUNTS RECEIVABLE MANAGER)
(859) 255-0075
Entity
Organization
Contact information
Practice address
5911 W STATE ROAD 46, BLOOMINGTON, IN 47404-9359
(812) 876-6400
(812) 876-1122
Mailing address
1050 CHINOE RD, SUITE 350, LEXINGTON, KY 40502-6571
(859) 255-0075
(859) 281-5150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
040005581
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267550A
—
IN
Enumeration date
09/12/2005
Last updated
12/21/2015
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