PUTNAM COUNTY HOSPITAL
Assisted Living Facility
Greencastle, Indiana
Provider NPI: 1093736076
Organization Information:Organization Name: PUTNAM COUNTY HOSPITAL
Practice Location:
102 W POPLAR ST GREENCASTLE, IN 46135 US
Tel: 765-653-5148 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
102 W POPLAR ST GREENCASTLE, IN 46135 US
Tel: 765-653-5148 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | IN | 001120 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IN | 001120 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
200525120A | IN | 05 | |
200808700A | IN | 05 | |
201202710A | IN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin