Organization
PUTNAM COUNTY HOSPITAL
Active
Other names
The Waters of Martinsville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS WEATHERFORD (PRESIDENT/CEO)
(765) 655-2620
Entity
Organization
Contact information
Practice address
2055 HERITAGE DR, MARTINSVILLE, IN 46151-3158
(765) 342-3305
(765) 342-9575
Mailing address
2055 HERITAGE DR, MARTINSVILLE, IN 46151-3158
(765) 342-3305
(765) 342-9575
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05-000096-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000381423
ANTHEM BCBS
IN
01
—
000000476411
ANTHEM PT
IN
01
—
000000476412
ATNEHM OT
IN
01
—
000000476413
ANTHEM ST
IN
05
—
100290890C
—
IN
Enumeration date
06/04/2006
Last updated
10/27/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us