# DAVIESS COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Corydon Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891030680
- **Authorized official:** DERON STEINER (BOARD CHAIR)
- **Authorized official phone:** (812) 254-2760

## Contact information

- **Practice address:** 315 COUNTRY CLUB RD, CORYDON, IN 47112-1751
- **Practice address phone:** (812) 738-2190
- **Practice address fax:** (812) 738-2153
- **Mailing address:** 1314 EAST WALNUT STREET, P.O. BOX 760, WASHINGTON, IN 47501-0760
- **Mailing address phone:** (812) 254-2760
- **Mailing address fax:** (260) 727-3852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 12-000338-2 | IN | — |
| 314000000X | Skilled Nursing Facility | 12-000338-2 | IN | Yes |

## Other

- **Enumeration date:** 12/05/2012
- **Last updated:** 01/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100287590D | — | IN |
