NPIMap

Organization Active NPI

Daviess County Hospital

  • Family Medicine Physician
  • Washington, IN
National Provider Identifier
1679921035
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16-005056-1 Issued in IN
Legal business name
DAVIESS COUNTY HOSPITAL
Practice address
1401 Memorial Ave Ste C
Washington, IN 47501-3154
Phone
(812) 254-2760
Fax
(812) 254-8636
NPI assigned
May 26, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Anthony Showalter
Title
Board President
Phone
(812) 254-2760

Other NPIs on the same Medicare enrollment 12

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

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 16-005056-1 IN Primary

Addresses

NPPES NPI Registry

Primary practice location

1401 Memorial Ave Ste C
Washington, IN 47501-3154

Mailing address

PO Box 760
Washington, IN 47501-0760
Phone (812) 254-2760

Other names 1

NPPES NPI Registry
  • DCH Provider Services Doing business as

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address dchdirect@direct.dchsystem.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 2, 2021.

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609545600000",
    "number": "1679921035",
    "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": "812-254-2760",
            "fax_number": "812-254-8636"
        },
        {
            "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": "812-254-2760",
            "fax_number": "812-254-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIESS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A",
        "authorized_official_last_name": "SHOWALTER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "812-254-2760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "16-005056-1",
            "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 Provider Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DCH Provider Services",
            "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.