Daviess County Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

12-000338-2 Issued in IN

Legal business name

DAVIESS COUNTY HOSPITAL

Practice address

315 Country Club Rd
Corydon, IN 47112-1751

Phone

(812) 738-2190

Fax

(812) 738-2153

NPI assigned

Dec 5, 2012

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Corydon Nursing and Rehabilitation Doing business as

Electronic endpoints 1

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Adams County Memorial Hospital

  • Skilled Nursing Facility
  • Bluffton, IN
  • NPI 1447231832

  Member Of

  NPD member
• Pulaski Memorial Hospital

  • Skilled Nursing Facility
  • Fort Wayne, IN
  • NPI 1235177981

  Member Of

  NPD member

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609545600000",
    "number": "1891030680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 EAST WALNUT STREET, P.O. BOX 760",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475010760",
            "telephone_number": "812-254-2760",
            "fax_number": "260-727-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 COUNTRY CLUB RD",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471121751",
            "telephone_number": "812-738-2190",
            "fax_number": "812-738-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIESS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "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": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IN",
            "license": "12-000338-2",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "12-000338-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100287590D",
            "state": "IN"
        }
    ],
    "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": "Corydon Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corydon Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michelle Marie Dicostanzo, MD

• All providers in Corydon, IN
• Skilled Nursing Facility in Indiana

• 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.

Verify at the official NPI Registry.