Putnam County Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

14-000162-1 Issued in IN

Legal business name

PUTNAM COUNTY HOSPITAL

Doing business as

Williamsburg Health Care

Practice address

1609 Lafayette Rd
Crawfordsville, IN 47933-1032

Phone

(765) 364-0363

Fax

(765) 362-2436

NPI assigned

Jul 19, 2006

Last updated

Jun 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis Weatherford

Title

Ceo

Phone

(765) 655-2620

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Williamsburg Health Care Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Putnam County Hospital

  dba Putnam Pediatrics and Internal Medicine

  • Rural Health Clinic/Center
  • Greencastle, IN
  • NPI 1699833129

  Member Of

  NPD member

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1437178647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 LAFAYETTE RD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331032",
            "telephone_number": "765-364-0363",
            "fax_number": "765-362-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 LAFAYETTE RD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331032",
            "telephone_number": "765-364-0363",
            "fax_number": "765-362-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "WEATHERFORD",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-655-2620"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "14-000162-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100284300",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsburg Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monika Poudel
• Pravin M Patel, MD Inc
• Kenneth Primm, M.D.
• Proactive Mso, LLC (Proactive MD)
• Proactive Mso, LLC (Proactive MD Crawfordsville Health Center)
• Putnam County Hospital (Wellbrooke of Crawfordsville)
• Michael Railling, RBT
• Haley Lynn Randolph, PT
• Stephen W. Rasmussen, D.D.S.
• Jill Ratcliff, LSW

• Skilled Nursing Facility in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.