NPIMap

Organization Active NPI

Putnam County Hospital

Doing business as Putnam Pediatrics and Internal Medicine

  • Rural Health Clinic/Center
  • Greencastle, IN
National Provider Identifier
1699833129
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PUTNAM COUNTY HOSPITAL
Doing business as
Putnam Pediatrics and Internal Medicine
Practice address
1542 S Bloomington St
Greencastle, IN 46135-2212
Phone
(765) 658-2700
Fax
(765) 658-2703
NPI assigned
Dec 5, 2006
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Mr. Dennis Weatherford
Title
Ceo
Phone
(765) 301-7524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1542 S Bloomington St
Greencastle, IN 46135-2212

Mailing address

1542 S Bloomington St
Greencastle, IN 46135-2212
Phone (765) 301-7300

Other names 1

  • Putnam Pediatrics and Internal Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699833129. Details of each certification follow.

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
OtherNon-profit
Enrollment address
1542 S Bloomington St
Greencastle, IN 46135-2212
Related CCNs
151333

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
15D1001261Putnam Pediatrics & Internal Medicine1542 S Bloomington St, Greencastle, IN 46135Provider-performed microscopyJul 4, 2028

National Provider Directory

National Provider Directory

Locations

51 E Market St
Cloverdale, IN 46120
Phone (765) 795-4242

1111 S Calbert Way
Greencastle, IN 46135
Phone (317) 781-1133

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 7656530203401

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.

NameRoleSinceShare
Matthew L Headley Individual Corporate DirectorBoard Member Jan 1, 2012
Putnam County Hospital Organization, Greencastle, IN Operational/Managerial Control Apr 2, 2013
Keith P Landry Individual Corporate DirectorSecretary/Treasurer Sep 1, 2020
Arnold D Bray Individual Corporate DirectorPresident Jan 1, 2002
James a Nerone Individual Corporate DirectorCfo Dec 1, 2024
W-2 Managing EmployeeCfo Dec 1, 2024
Janice M Fry Individual Corporate DirectorBoard Member Mar 1, 2008
Bethany Combs Individual Corporate DirectorBoard Member Dec 1, 2024
Dennis a Weatherford Individual Corporate OfficerCeo Jan 1, 2016
W-2 Managing EmployeeAuthorized Official Jan 1, 2016
Wendell Underwood Individual Corporate DirectorBoard Member Dec 1, 2024
Mark Wood Individual Corporate DirectorBoard Member Dec 1, 2024
Katrina Ann Lewis Individual Corporate DirectorBoard Member Dec 21, 2022

Owners & managing parties with NPI records 1

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
Providence Health Care CenterSaint Mary of the Woods, IN, CCN 155802 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2013
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
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

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1699833129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 S BLOOMINGTON ST",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461352212",
            "telephone_number": "765-301-7300",
            "fax_number": "765-301-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 S BLOOMINGTON ST",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461352212",
            "telephone_number": "765-658-2700",
            "fax_number": "765-658-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "WEATHERFORD",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-301-7524",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Putnam Pediatrics and Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greencastle, IN

Sources for this page

Verify at the official NPI Registry.