Healthcare Provider Details

I. General information

NPI: 1588909337
Provider Name (Legal Business Name): DAVIESS COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2012
Last Update Date: 01/02/2021
Certification Date: 01/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2102 S MERIDIAN ST
INDIANAPOLIS IN
46225-1923
US

IV. Provider business mailing address

PO BOX 760 1314 E WALNUT STREET
WASHINGTON IN
47501-0760
US

V. Phone/Fax

Practice location:
  • Phone: 317-786-9426
  • Fax:
Mailing address:
  • Phone: 812-254-2760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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