PUTNAM COUNTY HOSPITAL NPI 1578621389

NPI Information

NPI: 1578621389
Provider Name: PUTNAM COUNTY HOSPITAL

Doing Business As: FAMILY MEDICINE OF CLOVERDALE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
51 E MARKET ST
CLOVERDALE, IN
ZIP 46120
Phone: (765) 795-4242
Get Directions

PUTNAM COUNTY HOSPITAL is a rural health clinic center in Cloverdale, IN. PUTNAM COUNTY HOSPITAL NPI is 1578621389. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Medicine Of Cloverdale.

The provider's business location address is:

51 E MARKET ST
CLOVERDALE, IN
ZIP 46120-427
Phone: (765) 795-4242
Fax: (765) 795-4456

The provider's authorized official is Julie A Battin .
The authorized official title is Office Manager and has the following contact phone number (765) 795-4242.

The CLIA number assigned to this NPI record is 15D1015923 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/5/2006 and was last updated on 6/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100268700F	MEDICAID	INDIANA
2	260830	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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