Providence Health Care Center

LBN: Putnam County Hospital
Providence Health Care Center is an health care organization with primary practice located at 1 Sisters Of Providence Providence Health Care Center, St. Mary Woods IN 47876-1095. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Putnam County Hospital can be contacted via phone (812) 535-1051, or through Weatherford, Dennis via phone (765) 655-2620.

Contact Information

Primary practice address
1 Sisters Of Providence Providence Health Care Center St. Mary Woods IN 47876-1095
Phone: (812) 535-1051
Fax: (812) 535-1005
Website:
Map and Directions
Authorized official contact:
Name: Weatherford, Dennis
Phone: (765) 655-2620

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X

Profile Details

NPI number 1114986924
LBN Legal business name Putnam County Hospital
DBA Doing business as Providence Health Care Center
Authorized official Weatherford, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Nov 20th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114986924 NPPES
Indiana Other 155802 CCN
Indiana MEDICAID 200429840A CCN

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