# DAVIESS COUNTY HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Petersburg Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144388505
- **Authorized official:** ANTHONY SHOWALTER (BOARD MEMEBER)
- **Authorized official phone:** (812) 254-8620

## Contact information

- **Practice address:** 611 E MAIN ST, PETERSBURG, IN 47567-1247
- **Practice address phone:** (812) 354-8426
- **Practice address fax:** (812) 354-9134
- **Mailing address:** 611 E MAIN ST, PETERSBURG, IN 47567-1247
- **Mailing address phone:** (812) 354-8426
- **Mailing address fax:** (812) 354-9134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 01028253A | IN | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 01/02/2021