DAVIESS COUNTY HOSPITAL NPI 1942368469

NPI Information

NPI: 1942368469
Provider Name: DAVIESS COUNTY HOSPITAL

Doing Business As: NORTH DAVIESS MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
202 N WEST ST
ODON, IN
ZIP 47562
Phone: (812) 636-7300
Get Directions

DAVIESS COUNTY HOSPITAL is a rural health clinic center in Odon, IN. DAVIESS COUNTY HOSPITAL NPI is 1942368469. The provider is registered as an organization entity type.
The provider Is Doing Business As North Daviess Medical Clinic.

The provider's business location address is:

202 N WEST ST
ODON, IN
ZIP 47562-032
Phone: (812) 636-7300
Fax: (812) 636-8204

The provider's authorized official is Ken Parsons .
The authorized official title is President Of Board Of Directors and has the following contact phone number (812) 254-8620.

The CLIA number assigned to this NPI record is 15D0361078 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 1/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	01043657A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200152680A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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