Healthcare Provider Details

I. General information

NPI: 1952812034
Provider Name (Legal Business Name): DAVIESS COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2017
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1480 SANDPIPER LN
GOSHEN IN
46526-7005
US

IV. Provider business mailing address

1480 SANDPIPER LN
GOSHEN IN
46526-7005
US

V. Phone/Fax

Practice location:
  • Phone: 317-653-5767
  • Fax:
Mailing address:
  • Phone: 317-653-5767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

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