Organization
PUTNAM COUNTY HOSPITAL
Active
Other names
Cobblestone Crossing Health Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS WEATHERFORD (PRESIDENT & CEO)
(765) 655-2620
Entity
Organization
Contact information
Practice address
1850 HOWARD WAYNE DRIVE, TERRE HAUTE, IN 47802-5415
(812) 232-0406
(812) 232-0433
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
011906
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200912380
—
IN
Enumeration date
06/09/2008
Last updated
03/25/2015
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