Healthcare Provider Details

I. General information

NPI: 1912906389
Provider Name (Legal Business Name): DAVIESS COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1236 LINCOLN AVENUE
EVANSVILLE IN
47714
US

IV. Provider business mailing address

1314 EAST WALNUT STREET, P.O. BOX 760
WASHINGTON IN
47501-0760
US

V. Phone/Fax

Practice location:
  • Phone: 812-464-3607
  • Fax: 812-421-1633
Mailing address:
  • Phone: 812-254-2760
  • Fax: 260-728-3582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number05-000443-1
License Number StateIN

VIII. Authorized Official

Name: DERON STEINER
Title or Position: BOARD CHAIR
Credential:
Phone: 812-254-2760