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General NPI Number Information
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NPI Number | 1255484937
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Entity Type | Organization
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Legal Business Name | DAVIESS COUNTY HOSPITAL
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 01/02/2021
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Provider Practice Location Address
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Address Line | 501 N LINCOLN AVE
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City | FOWLER
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State | IN
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Zip | 47944-1366
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Country | US
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Telephone | 765-884-1470
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 EAST WALNUT STREET, P.O. BOX 760
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City | WASHINGTON
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State | IN
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Zip | 47501-0760
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Country | US
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Telephone | 812-254-2760
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Fax | 317-818-1022
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Authorized Official
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Title or Position | BOARD CHAIR
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Name | MR. DERON STEINER
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Credential |
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Telephone | 812-254-2760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 11-000288-1
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License Number State | IN
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