Daviess County Hospital
Organization Active NPI Emergency Care Clinic/Center · Washington, IN
NPI 1417558271 · NPPES record last updated Jan 2, 2021
Key facts
- NPI
- 1417558271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Care Clinic/Center 261QE0002X
- Legal business name
- DAVIESS COUNTY HOSPITAL
- Practice address
- 1314 E Walnut St
Washington, IN 47501-2860 - Phone
- (812) 254-2760
- Fax
- (812) 254-8636
- NPI assigned
- Nov 6, 2020
- Organization subpart
- No
Authorized official
- Name
- Mrs. Chastity Lynne Fox
- Title
- Provider Enrollment
- Phone
- (812) 254-8620
Other NPIs on the same Medicare enrollment 12
Practitioners 25
-
Lachelle Andrea Ahlert, NP-C
-
Kimberly Benham, DO
-
Courtney A Faith, NP-C
-
Ashley N James, NP
-
Robert Kelsey, CRNA
-
F Steven Land, M.D.
-
Jennifer Rachelle Radice, M.S.N., F.N.P.-C
-
Michael James Snell, APRN
-
Shea N Souders, CRNA
-
Tiffany L Turner, FNP-C
-
David Vaughn, MD
-
Timothy Dwight Almquist, M.D.
-
Nhan Huu Nguyen, D.O.
-
Tracy A Powell, APRN, FNP
-
Thomas R Radice, M.D.
-
Luke A Raymond, PA-C
-
Jon Alan Schermerhorn, ACNP-BC
-
Otto C. Susec Jr., M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician |
207PE0004X | |||
| Emergency Care Clinic/Center | 261QE0002X | Yes |
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
- DCH ER Physicians Group
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dchdirect@direct.dchsystem.com |
Other providers in Washington, IN
- Daviess County Hospital
- Daviess County Hospital
- Daviess County Hospital
- Daviess County Hospital
- Daviess County Hospital
- Daviess County Hospital
- Daviess County Hospital
- Daviess County Hospital
- Daviess County Hospital
- Daviess County Hospital
All providers in Washington, IN · Emergency Care Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.