Putnam County Hospital
Organization Active NPI Rural Health Clinic/Center · Greencastle, IN
NPI 1699833129 · NPPES record last updated Apr 18, 2025
Key facts
- NPI
- 1699833129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- PUTNAM COUNTY HOSPITAL
- Practice address
- 1542 S Bloomington St
Suite 1300
Greencastle, IN 46135-2212 - Phone
- (765) 658-2700
- Fax
- (765) 658-2703
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Andrea Lee Mescall
- Title
- Accountant
- Phone
- (765) 655-2576
Owners & managing parties with NPI records 1
-
Keith Peter Landry, M.D.
Other NPIs on the same Medicare enrollment 7
Related certifications (CCN) 1
Facilities with the same owner 24
Practitioners 38
-
Adam David Amos, MD
-
Andrea S Baysinger, NP-C
-
Darla Jo Berry, CNM
-
Alexa Ann Bigger, FNP
-
Miranda Sue Cassity, AGACNP-BC, FNP-BC
-
Hannah Aker Evans, FNP
-
Dana Leigh Fugate, FNP
-
Kelsey Gentry, PA
-
Nicholas Christopher Heck, PH.D.
-
Craig Alan Johnson, D.O.
-
Jill Ann-Marie Krouse, PA-C
-
Holly Elizabeth Lee, FNP-C
-
Carl Vincent Lucas, NP-C
-
Warren L Macy, MD
-
Lisa Lynn Martin, M.D.
-
Jennifer J Pence, FNP
-
Troy Tolosa Quiz, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D1001261 | Putnam Pediatrics & Internal Medicine | Provider-performed microscopy | Jul 4, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN
Rural health clinic certification: CCN 158515
- Legal name
- PUTNAM COUNTY HOSPITAL
- Doing business as
- PUTNAM PEDIATRICS AND INTERNAL MEDICINE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Feb 23, 2015
- Last certification
- Feb 23, 2015
- Ownership / control type
- Non-profit – church related
- Organization structure
- Other · Non-profit
- Enrollment address
- 1542 S Bloomington St
Greencastle, IN 46135-2212 - Related CCNs
- 151333
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Matthew L Headley |
Corporate Director |
Jan 1, 2012 | |
| Putnam County Hospital |
Operational/Managerial Control | Apr 2, 2013 | |
| Keith P Landry |
Corporate Director |
Sep 1, 2020 | |
| Arnold D Bray |
Corporate Director |
Jan 1, 2002 | |
| James a Nerone |
Corporate Director |
Dec 1, 2024 | |
| W-2 Managing Employee |
Dec 1, 2024 | ||
| Janice M Fry |
Corporate Director |
Mar 1, 2008 | |
| Bethany Combs |
Corporate Director |
Dec 1, 2024 | |
| Dennis a Weatherford |
Corporate Officer |
Jan 1, 2016 | |
| W-2 Managing Employee |
Jan 1, 2016 | ||
| Wendell Underwood |
Corporate Director |
Dec 1, 2024 | |
| Mark Wood |
Corporate Director |
Dec 1, 2024 | |
| Katrina Ann Lewis |
Corporate Director |
Dec 21, 2022 |
All facility ownership & control disclosures 25
| Facility | Type | Role | Since |
|---|---|---|---|
| Putnam County Hospital |
Hospital | Operational/Managerial Control | Jul 1, 1966 |
| Putnam County Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 30, 2015 |
| The Waters of Princeton |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2012 |
| Providence Health Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2013 |
| The Waters of Greencastle |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 23, 2014 |
| The Waters of Martinsville |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
May 23, 2014 Jun 9, 2026 |
| Cobblestone Crossings Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2014 |
| Owen Valley Rehabilitation and Healthcare Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Mill Pond Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Wellbrooke of Avon |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Wellbrooke of Crawfordsville |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Vernon Health & Rehabilitation |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2015 |
| Hutsonwood at Brazil |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jun 1, 2015 Sep 19, 2025 |
| Harrisons Crossings Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Richland Bean Blossom Health Care Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2015 |
| Century Villa Health Care |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2018 |
| Northview Health and Living |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2018 |
| Summit Health and Living |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2018 |
| Elwood Health and Living |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2018 |
| The Waters of Huntingburg |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2020 |
| The Waters of Scottsburg |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2020 |
| Family Medicine of Cloverdale |
Rural health clinic | Operational/Managerial Control | Apr 2, 2013 |
| North Putnam Family Healthcare |
Rural health clinic | Operational/Managerial Control | Apr 2, 2013 |
| Family Medicine of Greencastle |
Rural health clinic | Operational/Managerial Control | Oct 31, 2020 |
| Putnam Prompt Care |
Rural health clinic | Operational/Managerial Control | Dec 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040420000945 | IN | Part B Supplier - Clinic/Group Practice | 1951396605 |
Receives reassigned benefits from 94 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bainbridge, IN; Cloverdale, IN; Green Castle, IN; Greencastle, IN |
| O20130513000113 | IN | Part a Provider - Rural Health Clinic | 1951396605 | Practice locations: Greencastle, IN |
National Provider Directory
Locations
1542 S Bloomington St
#1100
Greencastle, IN 46135
Phone (765) 658-2700
1542 S Bloomington St
Ste 1
Greencastle, IN 46135
1542 S Bloomington St
Ste 1500
Greencastle, IN 46135
Phone (765) 658-2781
1542 S Bloomington St
Ste 1300
Greencastle, IN 46135
Phone (765) 653-2700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
1542 S Bloomington St
Suite 1300
Greencastle, IN 46135-2212
Mailing address
1542 S Bloomington St
Suite 1300
Greencastle, IN 46135-2212
Phone (765) 658-2700
Other names
- Putnam Pediatrics and Internal Medicine
Other providers in Greencastle, IN
- Putnam County Hospital
- Putnam County Hospital
- Putnam County Hospital
- Putnam County Hospital
- Putnam County Hospital
- Putnam County Hospital
- Putnam County Hospital
- Putnam County Hospital
- Putnam County Hospital
- Putnam County Operation Life, Inc.
All providers in Greencastle, IN · Rural Health Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.