Organization
DAVIESS COUNTY HOSPITAL
Active
Other names
Petersburg Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY SHOWALTER (BOARD MEMEBER)
(812) 254-8620
Entity
Organization
Contact information
Practice address
611 E MAIN ST, PETERSBURG, IN 47567-1247
(812) 354-8426
(812) 354-9134
Mailing address
611 E MAIN ST, PETERSBURG, IN 47567-1247
(812) 354-8426
(812) 354-9134
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
01028253A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200042020A
—
IN
Enumeration date
12/05/2006
Last updated
01/02/2021
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