Organization
PUTNAM COMMUNITY MEDICAL CENTER LLC
Active
Other names
Putnam Community Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
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
282NR1301X
Rural Acute Care Hospital
Primary
4350
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011351400
—
FL
Enumeration date
08/23/2006
Last updated
04/09/2014
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