Organization
DAVIESS COUNTY HOSPITAL
Active
Other names
Daviess-Martin Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY SHOWALTER (BOARD MEMEBER)
(812) 254-8620
Entity
Organization
Contact information
Practice address
12546 E US HIGHWAY 50, LOOGOOTEE, IN 47553-5220
(812) 295-5095
(812) 295-9403
Mailing address
12546 E US HIGHWAY 50, LOOGOOTEE, IN 47553-5220
(812) 295-5095
(812) 295-9403
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
02000751A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200837490A
—
IN
Enumeration date
12/05/2006
Last updated
01/02/2021
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