Active NPI
Daviess County Hospital
- Skilled Nursing Facility
- Indianapolis, IN
National Provider Identifier
1013133776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 14-000567-2
- Legal business name
- DAVIESS COUNTY HOSPITAL
- Practice address
- 2926 N. Capitol Ave
Indianapolis, IN 46208-0356 - Phone
- (317) 926-0254
- Fax
- (317) 926-3130
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deron Steiner
- Title
- Board Chair
- Phone
- (812) 254-2760
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 07-000567-1 | IN | |
| Skilled Nursing Facility | 314000000X | 14-000567-2 | IN | Primary |
Addresses
Primary practice location
2926 N. Capitol Ave
Indianapolis, IN 46208-0356
Mailing address
1314 Walnut Street
Washington, IN 47501-2860
Phone (812) 254-2760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100298560 | Medicaid | IN |
Other names 1
- Capitol Village
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dchdirect@direct.dchsystem.com |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609545600000",
"number": "1013133776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 WALNUT STREET",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475012860",
"telephone_number": "812-254-2760",
"fax_number": "260-728-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2926 N. CAPITOL AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462080356",
"telephone_number": "317-926-0254",
"fax_number": "317-926-3130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVIESS COUNTY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2021-01-02",
"certification_date": "2021-01-02",
"status": "A",
"authorized_official_last_name": "STEINER",
"authorized_official_first_name": "DERON",
"authorized_official_title_or_position": "BOARD CHAIR",
"authorized_official_telephone_number": "812-254-2760"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "07-000567-1",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "14-000567-2",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100298560",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dchdirect@direct.dchsystem.com",
"affiliation": "N",
"address_1": "1805 S State Road 57",
"city": "Washington",
"state": "IN",
"country_code": "US",
"postal_code": "475014326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Capitol Village",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.