Organization
DAVIESS COUNTY HOSPITAL
Active
Other names
Capitol Village
Organization subpart
No
Provider details
NPI number
Authorized official
DERON STEINER (BOARD CHAIR)
(812) 254-2760
Entity
Organization
Contact information
Practice address
2926 N. CAPITOL AVE, INDIANAPOLIS, IN 46208-0356
(317) 926-0254
(317) 926-3130
Mailing address
1314 WALNUT STREET, WASHINGTON, IN 47501-2860
(812) 254-2760
(260) 728-3852
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
07-000567-1
IN
314000000X
Skilled Nursing Facility
Primary
14-000567-2
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100298560
—
IN
Enumeration date
04/18/2007
Last updated
01/02/2021
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