Healthcare Provider Details

I. General information

NPI: 1548329766
Provider Name (Legal Business Name): DAVIESS COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W LAGRANGE RD
HANOVER IN
47243-9439
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: 812-866-2625
  • Fax: 812-866-5540
Mailing address:
  • Phone: 812-254-2760
  • Fax: 317-818-1022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number10-000115-1
License Number StateIN

VIII. Authorized Official

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