NPIMap

Organization Active NPI

Daviess County Hospital

Doing business as DCH ER Physicians Group

  • Emergency Care Clinic/Center
  • Washington, IN
National Provider Identifier
1417558271
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
DAVIESS COUNTY HOSPITAL
Doing business as
DCH ER Physicians Group
Practice address
1314 E Walnut St
Washington, IN 47501-2860
Phone
(812) 254-2760
Fax
(812) 254-8636
NPI assigned
Nov 6, 2020
Last updated
Jan 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

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

Authorized official

Name
Mrs. Chastity Lynne Fox
Title
Provider Enrollment
Phone
(812) 254-8620

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0004X
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

1314 E Walnut St
Washington, IN 47501-2860

Mailing address

1314 E Walnut St
Washington, IN 47501-2860
Phone (812) 254-2760

Other names 1

  • DCH ER Physicians Group 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 IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 12

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609545600000",
    "number": "1417558271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 E WALNUT ST",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475012860",
            "telephone_number": "812-254-2760",
            "fax_number": "812-254-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E WALNUT ST",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475012860",
            "telephone_number": "812-254-2760",
            "fax_number": "812-254-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIESS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "CHASTITY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "812-254-8620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "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": "DCH ER Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DCH ER Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.