NPIMap

Organization Active NPI

Putnam County Hospital

Doing business as Providence Health Care Center

  • Nursing Facility/Intermediate Care Facility
  • St. Mary Woods, IN
National Provider Identifier
1114986924
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
PUTNAM COUNTY HOSPITAL
Doing business as
Providence Health Care Center
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
Last updated
Nov 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

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

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 2

IdentifierTypeStateIssuer
155802OtherINCCN
200429840AMedicaidIN

Other names 1

  • Providence Health Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114986924. Details of each certification follow.

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
OtherNon-profit
Enrollment address
1 Sisters of Providence
Saint Mary of the Woods, IN 47876-1002
Nursing home name
PROVIDENCE HEALTH CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Providence Health Care CenterCCN 155802 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
7063.3 residents per day on average
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1012090Providence Health Care Center1 Sisters of Providence, St Mary of the Woods, IN 47876Certificate of waiverApr 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Putnam Surgical Special26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Ownership & related parties

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 BodyBoard 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 DirectorMember 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 DirectorBoard Member Jan 3, 2026
Trustee of the SNF Jan 3, 2026
Keith P Landry Individual Managing Control - Governing BodyBoard Member Sep 1, 2020
Trustee of the SNF Sep 1, 2020
Arnold D Bray Individual Managing Control - Governing BodyBoard 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 BodyBoard Member Sep 1, 2012
Trustee of the SNF Sep 1, 2012
Robert N Mann Individual Corporate DirectorVice 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 BodyBoard 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 BodyBoard 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 BodyBoard Member Dec 21, 2022
Trustee of the SNF Dec 21, 2022

Owners & managing parties with NPI records 4

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

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 HospitalGreencastle, IN, CCN 151333 Hospital Operational/Managerial Control Jul 1, 1966
Putnam County HospitalGreencastle, IN, CCN 15Z333 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 30, 2015
The Waters of PrincetonPrinceton, IN, CCN 155275 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2012
The Waters of GreencastleGreencastle, IN, CCN 155202 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 23, 2014
The Waters of MartinsvilleMartinsville, 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 CampusTerre Haute, IN, CCN 155772 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2014
Owen Valley Rehabilitation and Healthcare CenterSpencer, IN, CCN 155661 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Mill Pond Health CampusGreencastle, IN, CCN 155736 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Wellbrooke of AvonIndianapolis, IN, CCN 155811 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
Wellbrooke of CrawfordsvilleCrawfordsville, IN, CCN 155812 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
Vernon Health & RehabilitationWabash, IN, CCN 155810 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2015
Hutsonwood at BrazilBrazil, 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 CampusTerre Haute, IN, CCN 155830 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2015
Richland Bean Blossom Health Care CenterEllettsville, IN, CCN 155523 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2015
Century Villa Health CareGreentown, IN, CCN 155510 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2018
Northview Health and LivingAnderson, IN, CCN 155718 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2018
Summit Health and LivingSummitville, IN, CCN 155839 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2018
Elwood Health and LivingElwood, IN, CCN 155522 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2018
The Waters of HuntingburgHuntingburg, IN, CCN 155217 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2020
The Waters of ScottsburgScottsburg, IN, CCN 155494 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2020
Family Medicine of CloverdaleCloverdale, IN, CCN 158513 Rural health clinic Operational/Managerial Control Apr 2, 2013
Putnam Pediatrics and Internal MedicineGreencastle, IN, CCN 158515 Rural health clinic Operational/Managerial Control Apr 2, 2013
North Putnam Family HealthcareBainbridge, IN, CCN 158514 Rural health clinic Operational/Managerial Control Apr 2, 2013
Family Medicine of GreencastleGreencastle, IN, CCN 158572 Rural health clinic Operational/Managerial Control Oct 31, 2020
Putnam Prompt CareGreencastle, IN, CCN 158579 Rural health clinic Operational/Managerial Control Dec 1, 2023

Facilities with the same owner 24

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

View all 24

Practitioners & affiliated clinicians

Affiliated clinicians 11

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1114986924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 97",
            "city": "ST. MARY OF THE WOODS",
            "state": "IN",
            "postal_code": "478761095",
            "telephone_number": "812-535-1051",
            "fax_number": "812-535-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SISTERS OF PROVIDENCE",
            "address_2": "PROVIDENCE HEALTH CARE CENTER",
            "city": "ST. MARY WOODS",
            "state": "IN",
            "postal_code": "478761095",
            "telephone_number": "812-535-1051",
            "fax_number": "812-535-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "WEATHERFORD",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "765-655-2620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "155802",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200429840A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

Verify at the official NPI Registry.