{
"Npi": {
"NPI": "1053358960",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DAVIESS COUNTY HOSPITAL",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1029 E 5TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CONNERSVILLE",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47331-3301",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "765-825-0543",
"MailingAddressFaxNumber": "765-825-0794",
"FirstLinePracticeLocationAddress": "1029 E 5TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CONNERSVILLE",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "47331-3301",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "765-825-0543",
"PracticeLocationAddressFaxNumber": "765-825-0794",
"EnumerationDate": "05/31/2006",
"LastUpdateDate": "03/09/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STEINER",
"AuthorizedOfficialFirstName": "DERON",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "BOARD MEMEBER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "812-254-2760",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "15-000316-1",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}