Organization
PUTNAM COUNTY HOSPITAL
Active
Other names
Mill Pond Health Campus
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS WEATHERFORD (PRESIDENT & CEO)
(765) 655-2620
Entity
Organization
Contact information
Practice address
1014 MILL POND LN, GREENCASTLE, IN 46135-2601
(765) 653-4397
(765) 653-4514
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060045501
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200526450A
—
IN
Enumeration date
10/26/2006
Last updated
09/02/2015
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