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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