# DAVIESS COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grand Avenue Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356468631
- **Authorized official:** MR. ANTHONY SHOWALTER (PRESIDENT OF THE BOARD OF DIRECTORS)
- **Authorized official phone:** (812) 254-8620

## Contact information

- **Practice address:** 1402 GRAND AVE, WASHINGTON, IN 47501-2122
- **Practice address phone:** (812) 257-0383
- **Practice address fax:** (812) 257-0433
- **Mailing address:** 1402 GRAND AVE, WASHINGTON, IN 47501-2122
- **Mailing address phone:** (812) 257-0383
- **Mailing address fax:** (812) 257-0433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 01/02/2021