Organization Active NPI

Putnam County Hospital

  • Skilled Nursing Facility
  • Winchester, IN
National Provider Identifier
1841285913
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PUTNAM COUNTY HOSPITAL
Doing business as
Randolph Nursing Home
Practice address
701 S Oak St
Winchester, IN 47394-2229
Phone
(765) 584-2201
Fax
(859) 281-5150
NPI assigned
Sep 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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) 301-7531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

701 S Oak St
Winchester, IN 47394-2229

Mailing address

701 S Oak St
Winchester, IN 47394-2229
Phone (765) 584-2201

Other identifiers 1

IdentifierTypeStateIssuer
100275450AMedicaidIN

Other names 1

  • Randolph Nursing Home Doing business as

National Provider Directory

National Provider Directory

Member of 3

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1841285913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S OAK ST",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473942229",
            "telephone_number": "765-584-2201",
            "fax_number": "765-584-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S OAK ST",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473942229",
            "telephone_number": "765-584-2201",
            "fax_number": "859-281-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "WEATHERFORD",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-301-7531"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100275450A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randolph Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Randolph Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.