RICHLAND BEAN BLOSSOM HEALTHCARE CENTER
NPI 1659366128
Skilled Nursing Facility in Bloomington, IN

Active since September 12, 2005CLIA 15D0647726 · Waiver
5911 W STATE ROAD 46, BLOOMINGTON, IN 47404(812) 876-6400(812) 876-1122 Get Directions Write a Review

NPPES record last updated: December 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richland Bean Blossom Healthcare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHLAND BEAN BLOSSOM HEALTHCARE CENTER (NPI 1659366128) is a healthcare organization registered as a skilled nursing facility in Bloomington, Indiana and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Brenda Campbell, Accounts Receivable Manager, as its authorized official.

NPPES Registry Identity

NPI1659366128
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePUTNAM COUNTY HOSPITAL
Location Address5911 W STATE ROAD 46Bloomington, IN 47404-9359
Mailing Address1050 Chinoe Rd, Suite 350Lexington, KY 40502-6571 · (859) 255-0075 · Fax (859) 281-5150
Fax(812) 876-1122
Organization SubpartNo
Authorized OfficialBrenda CampbellAccounts Receivable Manager · (859) 255-0075
Enumeration DateSeptember 12, 2005
Last NPPES UpdateDecember 21, 2015
NPI 1659366128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IN · 040005581
Definition
(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.
5911 W STATE ROAD 46, Bloomington, IN 47404

Other Names 1

Doing Business AsRichland Bean Blossom Healthcare Center

Other Identifiers 3

Medicaid100267550AIN
Medicare OSCAR/certification155523IN
Medicare NSC0687190001IN

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0647726

Richland Bean Blossom Health Care Ctr · Ellettsville, IN
Active · expires Aug 31, 2026
CLIA Number15D0647726
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCarolyn R. Grubb
Laboratory Phone(812) 876-6400
Laboratory LocationRichland Bean Blossom Health Care Ctr5911 W Sr 46 PO Box 537, Ellettsville, IN 47429
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
5911 W STATE ROAD 46
BLOOMINGTON, IN 47404
Speech-Language Pathologist
5911 W STATE ROAD 46
BLOOMINGTON, IN 47404
Occupational Therapy Assistant
5911 W STATE ROAD 46
BLOOMINGTON, IN 47404
Physical Therapist
5911 W STATE ROAD 46
BLOOMINGTON, IN 47404
Speech-Language Pathologist
5911 W STATE ROAD 46
BLOOMINGTON, IN 47404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Putnam County Hospital's NPI number?

The NPI number for Putnam County Hospital is 1659366128. It was assigned to this organization in the NPPES registry on September 12, 2005. The provider is doing business as Richland Bean Blossom Healthcare Center.

Where is Putnam County Hospital located?

Putnam County Hospital is located at 5911 W State Road 46, Bloomington, IN 47404. The listed phone number is (812) 876-6400.

What is Putnam County Hospital's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Putnam County Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0647726) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Putnam County Hospital accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Putnam County Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Putnam County Hospital was last updated on December 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.