MEDICARE: PUTNAM COUNTY HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1972863421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PUTNAM COUNTY HOSPITAL

Provider Business Mailing Address
First Line	:	1350 NORTH TODD DRIVE
Second Line	:
City	:	SCOTTSBURG
State	:	IN
Zip	:	47170-7755
Country	:	US
Telephone Number	:	812-752-5663
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 NORTH TODD DRIVE
Second Line	:
City	:	SCOTTSBURG
State	:	IN
Zip	:	47170-7755
Country	:	US
Telephone Number	:	812-752-5663
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DENNIS WEATHERFORD
Credential	:
Telephone Number	:	765-301-7525

Provider Enumeration Date	:	05/17/2012
Last Update Date	:	05/03/2021

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Directions to “PUTNAM COUNTY HOSPITAL ” Practice Location

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