Healthcare Provider Details
I. General information
NPI: 1437357662
Provider Name (Legal Business Name): DAVIESS COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2007
Last Update Date: 01/02/2021
Certification Date: 01/02/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 E ELM ST
NEW ALBANY IN
47150-3428
US
IV. Provider business mailing address
1314 E WALNUT ST P.O. BOX 760
WASHINGTON IN
47501-2860
US
V. Phone/Fax
- Phone: 812-945-9517
- Fax: 812-981-3303
- Phone: 812-254-2760
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3140N1450X |
| Taxonomy | Pediatric Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DERON
STEINER
Title or Position: BOARD CHAIR
Credential:
Phone: 812-254-2760