Organization
DAVIESS COUNTY HOSPITAL
Active
Other names
Hearthstone Health Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL P PLEVAYK (SR. VICE PRESIDENT FINANCE & OPERAT)
(502) 412-5847
Entity
Organization
Contact information
Practice address
3043 N LINTEL DR, BLOOMINGTON, IN 47404-8945
(812) 333-7622
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201247830A
—
IN
Enumeration date
10/24/2013
Last updated
01/02/2021
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