Active NPI
Putnam Community Medical Center of North Florida, LLC
Doing business as HCA Florida Putnam Hospital
- General Acute Care Hospital
- Palatka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- PUTNAM COMMUNITY MEDICAL CENTER OF NORTH FLORIDA, LLC
- Doing business as
- HCA Florida Putnam Hospital
- Practice address
- 611 Zeagler Dr
Palatka, FL 32177-3810 - Phone
- (386) 328-5711
- Fax
- (386) 325-8178
- NPI assigned
- Feb 17, 2015
- Last updated
- Mar 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip Pruitt
- Title
- Cfo
- Phone
- (386) 328-5711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011351400 | Medicaid | FL |
Other names 1
- HCA Florida Putnam Hospital
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150515001963 | FL | Part A Provider - Hospital | 6305166208 | Practice locations: Palatka, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1487045100. Details of each certification follow.
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 - Hospital subgroups
- Acute care
Care Compare: Hospital
Medicare Care Compare- Listed as
- HCA Florida Putnam Hospital
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Putnam Community Medical Center of North Florida LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Putnam Community Medical Center
- Rural Acute Care Hospital
- Palatka, FL
- NPI 1760599286
Locations
6905 Old Wolf Bay Rd
Palatka, FL 32177
Phone (386) 328-4225
Networks
- Freedom Health HMO Network
Interoperability endpoints
- putnam.cocue.fln@ccda.hcadirect.net
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| HCA Inc | 5% Or Greater Indirect Ownership Interest | Jan 5, 2015 | 100% |
| John M Franck | Corporate Officer | Jan 5, 2015 | |
| Corporate Director | Jan 5, 2015 | ||
| Eric D Smith | Other | Mar 1, 2021 | |
| HCA Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Jan 5, 2015 | 100% |
| Frisco Holding II | 5% Or Greater Indirect Ownership Interest | Feb 6, 2026 | 16.3% |
| Philip C Pruitt | Corporate Officer | Sep 29, 2024 | |
| W-2 Managing Employee | Sep 29, 2024 | ||
| Hercules Holding II | 5% Or Greater Indirect Ownership Interest | Jan 5, 2015 | 14.4% |
| Landon Daniel Smith | Corporate Officer | Sep 3, 2024 | |
| W-2 Managing Employee | Sep 3, 2024 | ||
| Samuel N Hazen | Corporate Officer | Jan 5, 2015 | |
| Corporate Director | Jan 5, 2015 | ||
| Healthtrust Inc - the Hospital Company | 5% Or Greater Indirect Ownership Interest | Jan 5, 2015 | 100% |
| Hti Hospital Holdings Inc | 5% Or Greater Direct Ownership Interest | Jan 5, 2015 | 100% |
Facilities with the same owner 132
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba HCA Florida Citrus Hospital
- General Acute Care Hospital
- Inverness, FL
- NPI 1750780342
Hti Hospital Holdings Inc
-
dba HCA Florida Englewood Hospital
- General Acute Care Hospital
- Englewood, FL
- NPI 1639122864
Hti Hospital Holdings Inc
-
dba HCA Florida Fawcett Hospital
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
Hti Hospital Holdings Inc
-
dba HCA Florida Fawcett Hospital
- Rehabilitation Hospital Unit
- Port Charlotte, FL
- NPI 1588618367
Hti Hospital Holdings Inc
-
dba HCA Florida Kendall Hospital
- General Acute Care Hospital
- Miami, FL
- NPI 1710931522
Hti Hospital Holdings Inc
-
dba HCA Florida Aventura Hospital Inpatient Rehabilitation Center
- Rehabilitation Hospital Unit
- Aventura, FL
- NPI 1346970241
Hti Hospital Holdings Inc
-
dba HCA Florida Aventura Hospital
- General Acute Care Hospital
- Aventura, FL
- NPI 1407801673
Hti Hospital Holdings Inc
-
dba HCA Florida Aventura Hospital
- Psychiatric Hospital Unit
- Aventura, FL
- NPI 1821035957
Hti Hospital Holdings Inc
-
dba HCA Florida Oviedo Medical Center
- General Acute Care Hospital
- Oviedo, FL
- NPI 1245785567
Hti Hospital Holdings Inc
-
dba HCA Florida Sarasota Doctors Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1003862053
Hti Hospital Holdings Inc
-
dba HCA Florida South Tampa Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1871935072
Hti Hospital Holdings Inc
-
dba HCA Florida South Tampa Hospital
- Psychiatric Hospital Unit
- Tampa, FL
- NPI 1962844167
Hti Hospital Holdings Inc
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.
-
dba HCA Florida Putnam Hospital
- Medicare Defined Swing Bed Hospital Unit
- Palatka, FL
- NPI 1740676220
Practitioners & affiliated clinicians
Affiliated clinicians 241
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Gainesville, FL
- NPI 1366755837
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
- Putnam Clinical Laboratories Inc
- Putnam Community Medical Center LLC
- Putnam Community Medical Center LLC
- Putnam Community Medical Center LLC (Putnam Community Medical Center)
- Putnam Community Medical Center LLC
- Putnam Community Medical Center of North Florida, LLC (HCA Florida Putnam Hospital)
- Putnam Community Medical Center, LLC (Putnam Community Medical Center)
- Putnam County Alcohol & Drug Council, Inc. (Putnam-St. Johns Behavioral Healthcare)
- Putnam County Public School District
- Putnam County Public School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.