Putnam County Hospital
Organization Active NPI Critical Access Hospital · Greencastle, IN
NPI 1912947490 · NPPES record last updated May 19, 2011
Key facts
- NPI
- 1912947490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 06 004765-2 (IN)
- Legal business name
- PUTNAM COUNTY HOSPITAL
- Practice address
- 1542 S Bloomington St
Greencastle, IN 46135-2212 - Phone
- (765) 653-5121
- Fax
- (765) 655-2625
- NPI assigned
- Jun 7, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- PUTNAM COUNTY HOSPITAL
Authorized official
- Name
- Mr. Roger Boruff
- Title
- Cfo
- Phone
- (765) 655-2621
Owners & managing parties with NPI records 1
-
Keith Peter Landry, M.D.
Corporate family (same tax ID) 25
Related certifications (CCN) 5
Facilities with the same owner 24
Practitioners 58
-
Aditya Ahlawat, MD
-
Adam David Amos, MD
-
Jeffrey P Bailey, CRNA
-
Michael John Brumfield, D.O.
-
Kathleen S. Canfield, M.D.
-
Edwin M Eppler, MD
-
Sharron Probert Grannis, M.D.
-
Anthony D Heavin, MD
-
Nicholas Christopher Heck, PH.D.
-
Roland W James, MD
-
Craig Alan Johnson, D.O.
-
Andrew Kalin, MD
-
Holly Elizabeth Lee, FNP-C
-
Robin B Mendelsohn, M.D.
-
Celia Rose Menke, MD
-
David B Murphy, D.O.
-
Sharon A Nicoson, NP
-
Jennifer J Pence, FNP
-
Vincent Puccia, M.D.
-
George J Saliba, M.D.
-
Kimberly Salsman, LMHC
-
John Savage, MD
Affiliated clinicians 116
-
Emily Suzanne Adams, PAC
-
Aditya Ahlawat, MD
-
Sameer Z Ahmed, MD, MBBS
-
Jennifer L Allen, M.D.
-
Megan Marie Allison, PA-C
-
Adam David Amos, MD
-
Anthony A Andres, MD
-
Katelyn Ann Arnold, PA-C
-
Jeffrey P Bailey, CRNA
-
Nancy Regina Baird, M.D.
-
Chris P Bales, MD
-
Michael D. Barron, M.D.
-
Robert A. Batler, M.D.
-
Darla Jo Berry, CNM
-
Alexa Ann Bigger, FNP
-
Sridhar Reddy Bolla, M.D.
-
Sajal K Bose, M.D.
-
Robin L Brannan, FNP-C
-
Angela G Brittsan, M.D.
-
Michael John Brumfield, D.O.
Medicare Care Compare: Hospital
- Listed as
- Putnam County Hospital
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Critical Access Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN
Hospital certification: CCN 151333
- Legal name
- PUTNAM COUNTY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Dec 31, 2005
- Last certification
- Dec 7, 2011
- Beds
- 25
- Ownership / control type
- Local
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 1542 S Bloomington St
Greencastle, IN 46135-2212
Hospital certification: CCN 15Z333
- Legal name
- PUTNAM COUNTY HOSPITAL
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 1542 S Bloomington St
Greencastle, IN 46135-2212
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Matthew L Headley |
Corporate Officer |
Jan 1, 2012 | |
| Corporate Director |
Jan 1, 2012 | ||
| Corporate Officer |
Jan 1, 2012 | ||
| Corporate Director |
Jan 1, 2012 | ||
| Putnam County Hospital |
Operational/Managerial Control | Jul 1, 1966 | |
| 5% Or Greater Direct Ownership Interest | Apr 30, 2015 | 100% | |
| 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 | ||
| Operational/Managerial Control | Dec 1, 2024 | ||
| Janice M Fry |
Corporate Officer |
Mar 1, 2008 | |
| Corporate Director |
Mar 1, 2008 | ||
| Corporate Officer |
Mar 1, 2008 | ||
| Corporate Director |
Mar 1, 2008 | ||
| Bethany Combs |
Corporate Director |
Dec 1, 2024 | |
| Dennis a Weatherford |
Corporate Director |
Jan 1, 1999 | |
| W-2 Managing Employee |
Sep 25, 2014 | ||
| Operational/Managerial Control |
Jan 1, 1999 | ||
| Corporate Director |
Jun 1, 2000 | ||
| W-2 Managing Employee |
Jan 1, 2008 | ||
| Wendell Underwood |
Corporate Officer |
Dec 1, 2024 | |
| Corporate Director |
Dec 1, 2024 | ||
| Mark Wood |
Corporate Officer |
Dec 1, 2024 | |
| Corporate Director |
Dec 1, 2024 | ||
| Katrina Ann Lewis |
Corporate Director |
Dec 21, 2022 | |
| Corporate Officer |
Dec 21, 2022 | ||
| Debra K Sillery |
Corporate Director |
Mar 1, 2026 |
All facility ownership & control disclosures 24
| Facility | Type | Role | Since |
|---|---|---|---|
| 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 |
| Putnam Pediatrics and Internal Medicine |
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 |
|---|---|---|---|---|
| O20060306000038 | IN | Part a Provider - Critical Access Hospital | 1951396605 |
Receives reassigned benefits from 32 practitioners Practice locations: Greencastle, IN |
| O20080508000341 | IN | Part a Provider - Critical Access Hospital | 1951396605 | Practice locations: Greencastle, IN |
National Provider Directory
- Tax ID family
- Putnam Surgical Special
- Part of
- Putnam Surgical Special
Locations
1542 S Bloomington St
Ste 300
Greencastle, IN 46135
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 06 004765-2 | IN | |
| Critical Access Hospital | 282NC0060X | 06 004765-2 | IN | Yes |
Addresses
Primary practice location
1542 S Bloomington St
Greencastle, IN 46135-2212
Mailing address
1542 S Bloomington St
Greencastle, IN 46135-2212
Phone (765) 653-5121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100268680A | Medicaid | IN | |
| 000000097812 | Other | IN | BLUE CROSS, ANTHEM |
| 100268700A | Medicaid | IN |
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 Operation Life, Inc.
- Putnam Surgical Specialties
- Putnam Women'S Healthcare
All providers in Greencastle, IN · Critical Access Hospital in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2011. 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.