Healthcare Provider Details

I. General information

NPI: 1699833129
Provider Name (Legal Business Name): PUTNAM COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 S BLOOMINGTON ST SUITE 1300
GREENCASTLE IN
46135-2212
US

IV. Provider business mailing address

1542 S BLOOMINGTON ST SUITE 1300
GREENCASTLE IN
46135-2212
US

V. Phone/Fax

Practice location:
  • Phone: 765-658-2700
  • Fax: 765-658-2703
Mailing address:
  • Phone: 765-658-2700
  • Fax: 765-658-2703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANDREA LEE MESCALL
Title or Position: ACCOUNTANT
Credential:
Phone: 765-655-2576