Organization
DAVIESS COUNTY HOSPITAL
Active
Other names
Montgomery Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KENDRICK (CEO)
(812) 254-8620
Entity
Organization
Contact information
Practice address
427 N 1ST ST, MONTGOMERY, IN 47758
(812) 486-2842
(812) 486-2784
Mailing address
427 N FIRST ST, MONTGOMERY, IN 47758
(812) 486-2842
(812) 486-2784
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
01057351A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270240D
—
IN
Enumeration date
12/06/2006
Last updated
01/02/2021
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