Organization
DAVIESS COUNTY HOSPITAL SWING BED
Active
Organization
DAVIESS COUNTY HOSPITAL SWING BED
Active
Other names
Daviess Community Hospital Swing Bed
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMANDA RODEWALD (CFO INTERIM)
(812) 254-2760
Entity
Organization
Contact information
Practice address
1314 E WALNUT ST, WASHINGTON, IN 47501-2120
(812) 254-2760
(812) 254-8636
Mailing address
PO BOX 32, WASHINGTON, IN 47501-2120
(812) 254-2760
(812) 254-8636
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
010012
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000098250
ANTHEM
IN
05
—
100270230
—
IN
01
—
CA5604
RAILROAD MEDICARE
IN
Enumeration date
03/08/2006
Last updated
01/02/2021
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