NPIMap

Putnam County Hospital

Organization Active NPI Nursing Facility/Intermediate Care Facility · St. Mary Woods, IN

NPI 1114986924 · NPPES record last updated Nov 20, 2014

Key facts

NPI
1114986924
Entity type
Organization (NPI type 2)
Primary specialty
Nursing Facility/Intermediate Care Facility 313M00000X
Legal business name
PUTNAM COUNTY HOSPITAL
Practice address
1 Sisters of Providence
Providence Health Care Center
St. Mary Woods, IN 47876-1095
Phone
(812) 535-1051
Fax
(812) 535-1005
NPI assigned
Mar 21, 2006
Organization subpart
No

Authorized official

Name
Mr. Dennis Weatherford
Title
President & Ceo
Phone
(765) 655-2620

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Corporate family (same tax ID) 25

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 24

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Nursing home

Listed as
Providence Health Care Center CCN 155802
Overall star rating
★★☆☆☆ 2 of 5
Health inspections
★★☆☆☆ 2 of 5
Staffing
★★★★☆ 4 of 5
Quality measures
★★★☆☆ 3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Oct 17, 2012
Medicare certification status
Active (Provider of Services file)
Certified beds
70 · 63.3 residents per day on average
Penalties (3 years)
1 · fines totaling $0

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1012090Providence Health Care Center
1 Sisters of Providence, St Mary of the Woods, IN 47876		Certificate of waiverApr 30, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Skilled nursing facility certification: CCN 155802

Legal name
PUTNAM COUNTY HOSPITAL
Doing business as
PROVIDENCE HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 17, 2012
Last certification
May 16, 2025
Beds
107 (70 certified)
Ownership / control type
Church Related
Most recent change of ownership
Dec 1, 2013
Organization structure
Other · Non-profit
Enrollment address
1 Sisters of Providence
Saint Mary of the Woods, IN 47876-1002
Nursing home name
PROVIDENCE HEALTH CARE CENTER

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mandy K Lynch
Individual 		Operational/Managerial Control Jul 25, 2016
Adp of the SNF Jul 25, 2016
Matthew L Headley
Individual 		Managing Control - Governing Body
Board Member		 Sep 1, 2012
Trustee of the SNF Sep 1, 2012
Putnam County Hospital
Organization · Greencastle, IN 		5% Or Greater Direct Ownership Interest Dec 1, 2013 100%
Sisters of Providence
Organization · Saint Mary of the Woods, IN
Corporation 		Adp of the SNF Sep 1, 2023
Christine Hollowell
Individual 		Operational/Managerial Control Apr 30, 2022
Kenneth M Kigorwe
Individual 		Operational/Managerial Control May 2, 2024
Adp of the SNF May 2, 2024
Dennis D O'Hair
Individual 		Corporate Director
Member		 Dec 1, 2013
Michelle Rodgers
Individual 		Operational/Managerial Control Apr 29, 2023
Laura Parker
Individual 		Operational/Managerial Control Apr 22, 2017
Debra K Sillery
Individual 		Corporate Director
Board Member		 Jan 3, 2026
Trustee of the SNF Jan 3, 2026
Keith P Landry
Individual 		Managing Control - Governing Body
Board Member		 Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Arnold D Bray
Individual 		Managing Control - Governing Body
Board of Trustees		 Sep 1, 2012
Trustee of the SNF Sep 1, 2012
John C Welch
Individual 		Operational/Managerial Control Apr 21, 2018
Mary Beth Klingel
Individual 		Operational/Managerial Control Apr 30, 2022
Janice M Fry
Individual 		Managing Control - Governing Body
Board Member		 Sep 1, 2012
Trustee of the SNF Sep 1, 2012
Robert N Mann
Individual 		Corporate Director
Vice President		 Jan 1, 2016
Denise Wilkinson
Individual 		Operational/Managerial Control Nov 16, 2024
Marcia Miller
Individual 		Operational/Managerial Control Jan 30, 2016
Dennis a Weatherford
Individual 		Operational/Managerial Control Sep 18, 2012
Wendell Underwood
Individual 		Managing Control - Governing Body
Board Member		 May 20, 2024
Trustee of the SNF May 20, 2024
Providence Health Care Inc
Organization · Saint Mary of the Woods, IN
Corporation 		Operational/Managerial Control Dec 1, 2013
Adp of the SNF Dec 1, 2013
Mark Wood
Individual 		Managing Control - Governing Body
Board Member		 Aug 5, 2024
Trustee of the SNF Aug 5, 2024
Janie Orrington-Myers
Individual 		Operational/Managerial Control Apr 29, 2023
Brandon Henman
Individual 		Operational/Managerial Control Apr 29, 2023
Katrina Ann Lewis
Individual 		Managing Control - Governing Body
Board Member		 Dec 21, 2022
Trustee of the SNF Dec 21, 2022

All facility ownership & control disclosures 25

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Putnam County Hospital
Greencastle, IN · CCN 151333		 Hospital Operational/Managerial Control Jul 1, 1966
Putnam County Hospital
Greencastle, IN · CCN 15Z333		 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 30, 2015
The Waters of Princeton
Princeton, IN · CCN 155275		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
The Waters of Greencastle
Greencastle, IN · CCN 155202		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 23, 2014
The Waters of Martinsville
Martinsville, IN · CCN 155183		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 May 23, 2014
Jun 9, 2026
Cobblestone Crossings Health Campus
Terre Haute, IN · CCN 155772		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Owen Valley Rehabilitation and Healthcare Center
Spencer, IN · CCN 155661		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Mill Pond Health Campus
Greencastle, IN · CCN 155736		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Wellbrooke of Avon
Indianapolis, IN · CCN 155811		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
Wellbrooke of Crawfordsville
Crawfordsville, IN · CCN 155812		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
Vernon Health & Rehabilitation
Wabash, IN · CCN 155810		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Hutsonwood at Brazil
Brazil, IN · CCN 155503		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jun 1, 2015
Sep 19, 2025
Harrisons Crossings Health Campus
Terre Haute, IN · CCN 155830		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
Richland Bean Blossom Health Care Center
Ellettsville, IN · CCN 155523		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2015
Century Villa Health Care
Greentown, IN · CCN 155510		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2018
Northview Health and Living
Anderson, IN · CCN 155718		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2018
Summit Health and Living
Summitville, IN · CCN 155839		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2018
Elwood Health and Living
Elwood, IN · CCN 155522		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2018
The Waters of Huntingburg
Huntingburg, IN · CCN 155217		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2020
The Waters of Scottsburg
Scottsburg, IN · CCN 155494		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2020
Family Medicine of Cloverdale
Cloverdale, IN · CCN 158513		 Rural health clinic Operational/Managerial Control Apr 2, 2013
Putnam Pediatrics and Internal Medicine
Greencastle, IN · CCN 158515		 Rural health clinic Operational/Managerial Control Apr 2, 2013
North Putnam Family Healthcare
Bainbridge, IN · CCN 158514		 Rural health clinic Operational/Managerial Control Apr 2, 2013
Family Medicine of Greencastle
Greencastle, IN · CCN 158572		 Rural health clinic Operational/Managerial Control Oct 31, 2020
Putnam Prompt Care
Greencastle, IN · CCN 158579		 Rural health clinic Operational/Managerial Control Dec 1, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140225000004 IN Part a Provider - Skilled Nursing Facility 1951396605 Practice locations: Saint Mary of the Woods, IN

National Provider Directory

Tax ID family
Putnam Surgical Special (26 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Yes

Addresses

Primary practice location

1 Sisters of Providence
Providence Health Care Center
St. Mary Woods, IN 47876-1095

Mailing address

P.O. Box 97
St. Mary of the Woods, IN 47876-1095
Phone (812) 535-1051

Other identifiers

IdentifierTypeStateIssuer
155802OtherINCCN
200429840AMedicaidIN

Other names

  • Providence Health Care Center Doing business as

Sources for this page

Verify at the official NPI Registry.