PUTNAM COUNTY HOSPITAL (NPI# 1720026180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720026180 |
| Entity Type | Organization |
| Organization Name | PUTNAM COUNTY HOSPITAL |
| Other Organization Name | THE WATERS OF MARTINSVILLE |
| Practice Address |
2055 Heritage Dr Martinsville IN 46151-3158 |
| Practice Telephone | 7653423305 |
| Practice Fax Number | 7653429575 |
| Mailing Telephone | 7653423305 |
| Mailing Fax Number | 7653429575 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2014-10-27 |
| Authorized Official Name | MR. DENNIS WEATHERFORD (PRESIDENT/CEO) |
| Authorized Official Telephone | 7656552620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 05-000096-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS | 000000381423 | 01 |
| IN | ANTHEM PT | 000000476411 | 01 |
| IN | 100290890C | 05 | |
| IN | ATNEHM OT | 000000476412 | 01 |
| IN | ANTHEM ST | 000000476413 | 01 |
| Other Name | Type Code |
|---|---|
| The Waters of Martinsville | 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 |
2055 HERITAGE DR |
| City | MARTINSVILLE |
| State | IN |
| Zip Code | 46151-3158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780225524 | Nicolas Hayes | Occupational Therapist | 2055 Heritage Dr, Martinsville, IN 46151-3158 | 2019-10-02 |
| 1447733944 | Rohini Gawali | Physical Therapist | 2055 Heritage Dr, Martinsville, IN 46151-3158 | 2018-09-11 |
| 1235473869 | Jennifer Nicole Ray | Occupational Therapist | 2055 Heritage Dr, Martinsville, IN 46151-3158 | 2012-11-20 |
| 1417286642 | Traci Arnold | Physical Therapy Assistant | 2055 Heritage Dr, Martinsville, IN 46151-3158 | 2009-12-17 |
| 1952630162 | Larry Mendoza Lacanienta | Physical Therapist | 2055 Heritage Dr, Martinsville, IN 46151-3158 | 2009-12-17 |
| 1699004937 | Brandi Mashell Spaulding | Occupational Therapist | 2055 Heritage Dr, Martinsville, IN 46151-3158 | 2009-12-16 |
| 1225367576 | Kimberly K Shoulders | Occupational Therapist | 2055 Heritage Dr, Martinsville, IN 46151-3158 | 2009-12-16 |
| 1174852495 | Hannah J Hartley | Physical Therapist | 2055 Heritage Dr, Martinsville, IN 46151-3158 | 2009-12-16 |
| 1629307038 | Lynn Michelle Lopossa | Occupational Therapist | 2055 Heritage Dr, Martinsville, IN 46151-3158 | 2009-12-14 |
| 1447472030 | Healthcare Centers of Indiana, LLC | Skilled Nursing Facility | 2055 Heritage Dr, Martinsville, IN 46151-3158 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376061341 | Curtis Andrew Legg | Chiropractor | 1100 In-39 Bypass, Martinsville, IN 46151 | 2017-08-30 |
| 1922448919 | Patricia Ann Watts | Clinic/Center | 5040 State Road 67 North, Bradford Woods Health Center, Martinsville, IN 46151 | 2013-07-05 |
| 1962700856 | Keather Kent | Behavioral Analyst | 1375 E Morgan St., Martinsville, IN 46151 | 2011-03-02 |
| 1124235783 | Weaver Chiropractic Center PC | Chiropractor | 1100 State Rd. 39 By-pass, Suite #a, Martinsville, IN 46151 | 2007-05-16 |
| 1629197991 | James Clinton Weaver | Chiropractor | 1100 State Roas 39 By-pass, #a, Martinsville, IN 46151 | 2007-03-28 |
| 1134212988 | Nathaniel H Hall | Dentist | 829 Plaza Drive, Martinsville, IN 46151 | 2006-10-02 |
| 1952404634 | Hook Superx LLC | Pharmacy | 789 State Rd 39 By Pass, Martinsville, IN 46151 | 2006-09-07 |
| 1992753453 | Community Partners In Prenatal Care Inc | Local Education Agency (LEA) | 389 N Jefferson St, Martinsville, IN 46151 | 2006-05-05 |
| 1144290040 | Angela Denise Harder | Occupational Therapy Assistant | 359 E Morgan Street, Martinsville, IN 46151 | 2006-01-24 |
| 1659447332 | Richard Travis Dotterer Jr. | Optometrist | 410 Grand Valley Blvd, Martinsville, IN 46151 | 2006-11-27 |
| Find all providers in zip 46151 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033660360 | Nathan Ian Dalleave | Skilled Nursing Facility | 1243 Lanier Rd, Martinsville, VA 24112-5211 | 2016-10-21 |
| 1013926823 | Witham Memorial Hospital | Skilled Nursing Facility | 621 Grand Valley Blvd, Martinsville, IN 46151-5875 | 2006-08-08 |
| 1003868423 | Ggnsc Martinsville LLC | Skilled Nursing Facility | 1607 Spruce St, Martinsville, VA 24112-5437 | 2006-05-16 |
| 1265435333 | Blue Ridge Nursing Center of Martinsville and Henry County Inc. | Skilled Nursing Facility | 300 Blue Ridge St, Martinsville, VA 24112-7261 | 2005-05-23 |
| 1194361949 | Afs of Martinsville, Inc. | Skilled Nursing Facility | 300 Blue Ridge St, Martinsville, VA 24112-7261 | 2019-11-26 |
| 1770027542 | Gl Virginia Martinsville, LLC | Skilled Nursing Facility | 1607 Spruce Street Ext, Martinsville, VA 24112-5814 | 2016-12-13 |
| 1851777130 | Brnursco LLC | Skilled Nursing Facility | 300 Blue Ridge St, Martinsville, VA 24112-7261 | 2015-08-10 |
| 1770806291 | Broc LLC | Skilled Nursing Facility | 300 Blue Ridge St, Martinsville, VA 24112-7261 | 2010-03-11 |
| 1801064910 | Mainstreet Senior II, LLC | Skilled Nursing Facility | 1959 E Columbus St, Martinsville, IN 46151-1857 | 2008-02-12 |
| 1447472030 | Healthcare Centers of Indiana, LLC | Skilled Nursing Facility | 2055 Heritage Dr, Martinsville, IN 46151-3158 | 2007-05-03 |
| Find all providers in MARTINSVILLE | ||||
| City | MARTINSVILLE |
| Zip Code | 46151 |
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.