# DAVIESS COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Autumn Woods Health Campus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972611036
- **Authorized official:** MR. PAUL P PLEVYAK (SVP FINANCE)
- **Authorized official phone:** (502) 213-1710

## Contact information

- **Practice address:** 2911 GREEN VALLEY RD, NEW ALBANY, IN 47150-4316
- **Practice address phone:** (812) 941-9893
- **Practice address fax:** (812) 941-9896
- **Mailing address:** PO BOX 221648, LOUISVILLE, KY 40252-1648
- **Mailing address phone:** (502) 412-5847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 06-002657-1 | IN | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 01/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200308930A | — | IN |