NPIMap

Organization Active NPI

Daviess County Hospital

Doing business as Washington Surgical Associates

  • Medical Specialty Clinic/Center
  • Washington, IN
National Provider Identifier
1275745002
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
01028253A Issued in IN
Legal business name
DAVIESS COUNTY HOSPITAL
Doing business as
Washington Surgical Associates
Practice address
1401 Memorial Ave Ste C
Washington, IN 47501-3154
Phone
(812) 254-8856
Fax
(812) 254-4831
NPI assigned
May 4, 2007
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Amthony Showalter
Title
Board Memeber
Phone
(812) 254-2760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 01028253A IN Primary

Addresses

Primary practice location

1401 Memorial Ave Ste C
Washington, IN 47501-3154

Mailing address

PO Box 760
Washington, IN 47501-0760
Phone (812) 254-7310

Other names 1

  • Washington Surgical Associates Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dchdirect@direct.dchsystem.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071219000277 IN Part A Provider - Hospital 1557271665 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Odon, IN; Washington, IN
O20100420000663 IN Part B Supplier - Clinic/Group Practice 1557271665 Receives reassigned benefits from 112 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Washington, IN; Jasper, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275745002. Details of each certification follow.

Hospital certification: CCN 150061

Legal name
DAVIESS COUNTY HOSPITAL
Doing business as
DAVIESS COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 30, 2018
Beds
80
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
1314 E Walnut St
Washington, IN 47501-2860
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

Care Compare: Hospital

Medicare Care Compare
Listed as
Daviess Community HospitalCCN 150061 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Tammy Ziegler CNP45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
April D Settles Individual Corporate Director Feb 2, 2025
Tyson Wagler Individual Corporate Director Jun 18, 2013
Daviess County Hospital Organization, Washington, IN Operational/Managerial Control Nov 4, 2014
Chastity L Fox Individual W-2 Managing Employee Oct 8, 2014
Julie a Stephens Individual W-2 Managing Employee May 5, 2014
Deron Steiner Individual Corporate Director Jun 18, 2013
Anthony Showalter Individual Corporate DirectorBoard Member Jan 1, 2002
Kent Norris Individual Corporate Director Feb 25, 2025
Peter Parson Individual Corporate Director Feb 2, 2025

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 208

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 208

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1275745002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475010760",
            "telephone_number": "812-254-7310",
            "fax_number": "812-257-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEMORIAL AVE STE C",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475013154",
            "telephone_number": "812-254-8856",
            "fax_number": "812-254-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIESS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "SHOWALTER",
        "authorized_official_first_name": "AMTHONY",
        "authorized_official_title_or_position": "BOARD MEMEBER",
        "authorized_official_telephone_number": "812-254-2760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IN",
            "license": "01028253A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dchdirect@direct.dchsystem.com",
            "affiliation": "N",
            "address_1": "421 E Van Trees St",
            "city": "Washington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475012948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Washington Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Washington Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.