NPIMap

Putnam Community Medical Center of North Florida, LLC

Organization Active NPI General Acute Care Hospital · Palatka, FL

NPI 1487045100 · NPPES record last updated Mar 9, 2026

Key facts

NPI
1487045100
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
Legal business name
PUTNAM COMMUNITY MEDICAL CENTER OF NORTH FLORIDA, LLC
Practice address
611 Zeagler Dr
Palatka, FL 32177-3810
Phone
(386) 328-5711
Fax
(386) 325-8178
NPI assigned
Feb 17, 2015
Organization subpart
No

Authorized official

Name
Philip Pruitt
Title
Cfo
Phone
(386) 328-5711

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 1

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

Facilities with the same owner 132

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

View all 132

Affiliated clinicians 241

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

View all 241

Medicare Care Compare: Hospital

Listed as
HCA Florida Putnam Hospital CCN 100232
Overall star rating
★★☆☆☆ 2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Hospital certification: CCN 100232

Legal name
PUTNAM COMMUNITY MEDICAL CENTER OF NORTH FLORIDA LLC
Doing business as
HCA FLORIDA PUTNAM HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 29, 1975
Last certification
Mar 20, 2015
Beds
99
Ownership / control type
Private (for profit)
Most recent change of ownership
May 1, 2015 (2 total)
Organization structure
LLC
Incorporated
Jan 5, 2015 in FL
Enrollment address
611 Zeagler Dr
Palatka, FL 32177-3810
Main/Primary Hospital Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 11

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

NameRoleSinceShare
HCA Inc
Organization · Nashville, TN
Corporation, For-profit, Chain home office 		5% Or Greater Indirect Ownership Interest Jan 5, 2015 100%
John M Franck
Individual 		Corporate Officer
Manager		 Jan 5, 2015
Corporate Director Jan 5, 2015
Eric D Smith
Individual 		Other
Vice President- Reimbursement		 Mar 1, 2021
HCA Healthcare Inc
Organization · Nashville, TN
Corporation, Holding company, For-profit 		5% Or Greater Indirect Ownership Interest Jan 5, 2015 100%
Frisco Holding II
Organization · Wilmington, DE
Holding company, Investment firm, For-profit 		5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Philip C Pruitt
Individual 		Corporate Officer
Cfo		 Sep 29, 2024
W-2 Managing Employee
Cfo		 Sep 29, 2024
Hercules Holding II
Organization · Nashville, TN
Holding company, For-profit 		5% Or Greater Indirect Ownership Interest Jan 5, 2015 14.4%
Landon Daniel Smith
Individual 		Corporate Officer Sep 3, 2024
W-2 Managing Employee
Ceo		 Sep 3, 2024
Samuel N Hazen
Individual 		Corporate Officer
Manager		 Jan 5, 2015
Corporate Director Jan 5, 2015
Healthtrust Inc - the Hospital Company
Organization · Nashville, TN
Corporation, For-profit 		5% Or Greater Indirect Ownership Interest Jan 5, 2015 100%
Hti Hospital Holdings Inc
Organization · Nashville, TN
Corporation, For-profit 		5% Or Greater Direct Ownership Interest Jan 5, 2015 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150515001963 FL Part a Provider - Hospital 6305166208 Practice locations: Palatka, FL

National Provider Directory

Tax ID family
Putnam Community Medical Center of North Florida LLC (2 organizations share this tax ID)

Locations

6905 Old Wolf Bay Rd
Palatka, FL 32177
Phone (386) 326-8301

Networks

  • Freedom Health HMO Network
    Plans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Interoperability endpoints

  • Direct secure messaging: putnam.cocue.fln@ccda.hcadirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Yes

Addresses

Primary practice location

611 Zeagler Dr
Palatka, FL 32177-3810

Mailing address

1 Park PLZ
Nashville, TN 37203-6527
Phone (615) 344-9551

Other identifiers

IdentifierTypeStateIssuer
011351400MedicaidFL

Other names

  • HCA Florida Putnam Hospital Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address PUTNAM.COCUE.FLN@CCDA.HCADIRECT.NET
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 9, 2026.

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1487045100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK PLZ",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036527",
            "telephone_number": "615-344-9551",
            "fax_number": "615-344-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ZEAGLER DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773810",
            "telephone_number": "386-328-5711",
            "fax_number": "386-325-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COMMUNITY MEDICAL CENTER OF NORTH FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "386-328-5711"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011351400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PUTNAM.COCUE.FLN@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "Please contact CORP.HCACEP@HCAHealthcare.com for information regarding validation steps that may be required to ensure CCDs sent to the listed direct address are successfully received.",
            "address_1": "611 Zeagler Dr",
            "city": "Palatka",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321773810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HCA Florida Putnam Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palatka, FL

All providers in Palatka, FL · General Acute Care Hospital in Florida

Sources for this page

Verify at the official NPI Registry.