PUTNAM COUNTY HOSPITAL (NPI# 1114438579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114438579 |
| Entity Type | Organization |
| Organization Name | PUTNAM COUNTY HOSPITAL |
| Other Organization Name | JOHNSON NICHOLS HEALTH CLINIC |
| Practice Address |
1542 S Bloomington St Greencastle IN 46135-2212 |
| Practice Telephone | 7656536171 |
| Mailing Telephone | 7656536171 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2018-02-15 |
| Authorized Official Name | ROGER S BORUFF (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7656552620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Johnson Nichols Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194121079 | Putnam County Hospital | Skilled Nursing Facility | 395 8th Ave, Terre Haute, IN 47804-4064 | 2014-11-05 |
| 1760816623 | Putnam County Hospital | Skilled Nursing Facility | 517 N Concord Rd, Crawfordsville, IN 47933-9002 | 2013-08-28 |
| 1780843326 | Putnam County Hospital | Skilled Nursing Facility | 1850 Howard Wayne Drive, Terre Haute, IN 47802-5415 | 2008-06-09 |
| 1235294075 | Putnam County Hospital | Skilled Nursing Facility | 501 S Murphy Ave, Brazil, IN 47834-8316 | 2006-12-22 |
| 1578621389 | Putnam County Hospital | Clinic/Center | 51 E Market St, Cloverdale, IN 46120-8427 | 2006-12-05 |
| 1376601559 | Putnam County Hospital | Clinic/Center | 440 E Us Highway 36, Bainbridge, IN 46105-9608 | 2006-12-04 |
| 1932284056 | Putnam County Hospital | Skilled Nursing Facility | 1014 Mill Pond Ln, Greencastle, IN 46135-2601 | 2006-10-26 |
| 1467555748 | Putnam County Hospital | Skilled Nursing Facility | 920 W State Highway 46, Spencer, IN 47460-6749 | 2006-09-05 |
| 1093736076 | Putnam County Hospital | Assisted Living Facility | 102 W Poplar St, Greencastle, IN 46135-1636 | 2006-07-22 |
| 1437178647 | Putnam County Hospital | Skilled Nursing Facility | 1609 Lafayette Rd, Crawfordsville, IN 47933-1032 | 2006-07-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PUTNAM COUNTY HOSPITAL | 1542 S Bloomington St, Greencastle, IN 46135-2212 |
| Street Address |
1542 S BLOOMINGTON ST |
| City | GREENCASTLE |
| State | IN |
| Zip Code | 46135-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464717 | Robin B Mendelsohn | Specialist | 1542 S Bloomington St, Ste 1100, Greencastle, IN 46135-2212 | 2005-06-01 |
| 1336790153 | Matthew Dean Sheffler | Nurse Anesthetist, Certified Registered | 1542 S Bloomington St, Greencastle, IN 46135-2212 | 2019-09-23 |
| 1578111688 | Carl Vincent Lucas | Nurse Practitioner | 1542 S Bloomington St, Greencastle, IN 46135-2212 | 2019-09-01 |
| 1467915330 | Chelsea Ann Stephenson | Nurse Practitioner | 1542 S Bloomington St, Greencastle, IN 46135-2297 | 2019-04-09 |
| 1164993218 | Holly Elizabeth Lee | Nurse Practitioner | 1542 S Bloomington St, Greencastle, IN 46135-2212 | 2018-12-16 |
| 1841772472 | Miranda Sue Cassity | Nurse Practitioner | 1542 S Bloomington St, Greencastle, IN 46135-2212 | 2018-08-30 |
| 1184105355 | Jennifer D Sheffler | Nurse Practitioner | 1542 S Bloomington St, Greencastle, IN 46135 | 2018-08-27 |
| 1972022218 | Danielle D Turnak Md LLC | Anesthesiology | 1542 S Bloomington St, Greencastle, IN 46135-2212 | 2017-09-19 |
| 1780104265 | Union Associated Physicians Clinic, LLC | Psychiatry & Neurology | 1542 S Bloomington St, Greencastle, IN 46135-2212 | 2017-06-26 |
| 1689111478 | Jacqueline Chandler | Registered Nurse | 1542 S Bloomington St, Greencastle, IN 46135-2212 | 2017-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659916260 | Virginia Kay St. John | Technician | 961 Deer Field Court, Greencastle, IN 46135 | 2019-11-07 |
| 1205478138 | Hannah Aker Evans | Nurse Practitioner | Putnam County Hospital, 1542 S. Bloomington St., Greencastle, IN 46135 | 2019-10-11 |
| 1447627757 | Dental Professionals of In, P.C. | Dentist | 1012 Mill Pond Drive Suite A, Greencastle, IN 46135 | 2015-08-24 |
| 1982027702 | Putnam County Auditor | Public Health or Welfare | 1542 S. Bloomington Street, Suite 1500, Greencastle, IN 46135 | 2014-01-30 |
| 1679871685 | Lori A Bradbury | Speech-Language Pathologist | 1014 Mill Pond Lane, Greencastle, IN 46135 | 2011-03-01 |
| 1346568102 | Susan Maybaum | Occupational Therapist | 98 N 10th Street, Greencastle, IN 46135 | 2010-05-04 |
| 1710065065 | Putnam County Comprehensive Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 914 Tennessee St, Greencastle, IN 46135 | 2006-11-02 |
| 1619053626 | Putnam County Comprehensive Service | Day Training, Developmentally Disabled Services | 630 Tennessee St, Greencastle, IN 46135 | 2006-10-31 |
| 1851474167 | Thomas Houston Black IIi | Family Medicine | 1145 Indianapolis Road, Greencastle, IN 46135 | 2006-10-23 |
| 1861574782 | Wal-mart Stores East, Lp | Technician/Technologist | 1750 E. Indianapolis, Greencastle, IN 46135 | 2006-10-19 |
| Find all providers in zip 46135 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174571681 | Johnson Nichols Health Clinic, Inc | Clinic/Center | 141 Martinsville St, Greencastle, IN 46135-2233 | 2006-05-05 |
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|---|---|---|---|---|
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| 1083245955 | Kosciusko County Free Clinic, Inc | Clinic/Center | 7822 E. Epworth Forest Road, North Webster United Methodist Church, North Webster, IN 46555 | 2020-01-30 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1952894594 | Cadenza Wellness, PC | Clinic/Center | 332 W Us Highway 30 Ste A, Valparaiso, IN 46385-5344 | 2018-06-08 |
| 1144748294 | Women of Excellence LLC | Clinic/Center | 9445 Indianapolis Blvd, Highland, IN 46322-2648 | 2017-09-08 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1558724658 | Abundant Home Healthcare LLC | Clinic/Center | 7801 Sailors Ln, Indianapolis, IN 46254-9607 | 2016-04-05 |
| 1508247909 | Ur Care Health Services | Clinic/Center | 2508 Pleasant Ave, Fort Wayne, IN 46805-3320 | 2015-06-11 |
| 1700203544 | Fcc Terre Haute | Clinic/Center | 4200 Bureau Rd N, Terre Haute, IN 47802-8128 | 2014-03-18 |
| 1679998801 | Wellness Medical Center Inc | Clinic/Center | 350 Missouri Ave Ste 102, Jeffersonville, IN 47130-3001 | 2014-02-25 |
| Find all providers with the same taxonomy | ||||
| City | GREENCASTLE |
| Zip Code | 46135 |
Please comment or provide details below to improve the information on PUTNAM COUNTY HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.