Organization
PUTNAM COUNTY HOSPITAL
Active
Parent organization
PUTNAM COUNTY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUTNAM COUNTY HOSPITAL
Authorized official
MR. ROGER BORUFF (CFO)
(765) 655-2621
Entity
Organization
Contact information
Practice address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
(765) 653-5121
(765) 655-2625
Mailing address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
(765) 653-5121
(765) 655-2625
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
06 004765-2
IN
282NC0060X
Critical Access Hospital
Primary
06 004765-2
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097812
BLUE CROSS, ANTHEM
IN
05
—
100268680A
—
IN
05
—
100268700A
—
IN
Enumeration date
06/07/2006
Last updated
05/19/2011
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