Organization
PUTNAM COUNTY HOSPITAL
Active
Other names
Wellbrooke of Crawfordsville
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS WEATHERFORD (PRESIDENT & CEO)
(765) 655-2620
Entity
Organization
Contact information
Practice address
517 N CONCORD RD, CRAWFORDSVILLE, IN 47933-9002
(765) 362-9122
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201279670A
—
IN
Enumeration date
08/28/2013
Last updated
04/06/2016
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