Organization Name: | PUTNAM COUNTY HOSPITAL |
NPI Number: | 1295972412 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANE LITTIKEN (PHYSICIAN PRACTICE ADMINISTRATOR) |
Mailing Address: | 1542 S Bloomington St Greencastle |
State: | IN US |
Postal Code: | 461352212 |
Phone Number: | 7656552686 |
Fax Number: | 7656552687 |
NPI Enumeration Date: | 01/09/2009 |
NPI Last Update Date: | 01/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 090047651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |