DAVIESS COUNTY HOSPITAL (NPI# 1013133776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013133776 |
| Entity Type | Organization |
| Organization Name | DAVIESS COUNTY HOSPITAL |
| Other Organization Name | CAPITOL VILLAGE |
| Practice Address |
2926 N. Capitol Ave Indianapolis IN 46208-0356 |
| Mailing Address |
1314 Walnut Street Washington IN 47501-2860 |
| Practice Telephone | 3179260254 |
| Practice Fax Number | 3179263130 |
| Mailing Telephone | (812) 254-2760 |
| Mailing Fax Number | 2607283852 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2017-09-07 |
| Authorized Official Name | DERON STEINER (BOARD CHAIR) |
| Authorized Official Telephone | 8122542760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 07-000567-1 | IN | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 14-000567-2 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100298560 | 05 |
| Other Name | Type Code |
|---|---|
| Capitol Village | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447641683 | Daviess County Hospital | Skilled Nursing Facility | 363 S Fieldstone Blvd, Bloomington, IN 47403-9806 | 2015-02-10 |
| 1841688298 | Daviess County Hospital | Skilled Nursing Facility | 1694 Troy Rd, Washington, IN 47501-8211 | 2015-01-07 |
| 1316375686 | Daviess County Hospital | Skilled Nursing Facility | 3043 N Lintel Dr, Bloomington, IN 47404-8945 | 2013-10-24 |
| 1598192957 | Daviess County Hospital | Skilled Nursing Facility | 1108 Kingwood Drive, Avon, IN 46123-5500 | 2013-10-01 |
| 1174868822 | Daviess County Hospital | Nursing Facility/Intermediate Care Facility | 120 East Miller Drive, Bloomington, IN 47407-6538 | 2012-12-06 |
| 1083915326 | Daviess County Hospital | Orthopaedic Surgery | 421 E Van Trees St, Washington, IN 47501-2948 | 2010-11-03 |
| 1023340965 | Daviess County Hospital | Clinic/Center | 1805 S State Road 57, Washington, IN 47501-4326 | 2010-02-03 |
| 1255484937 | Daviess County Hospital | Skilled Nursing Facility | 501 N Lincoln Ave, Fowler, IN 47944-1366 | 2007-01-18 |
| 1285799023 | Daviess County Hospital | Skilled Nursing Facility | 1005 South Edgewood Drive, Knox, IN 46534-8226 | 2006-12-22 |
| 1467511790 | Daviess County Hospital | Clinic/Center | 427 N 1st St, Montgomery, IN 47758 | 2006-12-06 |
| Street Address |
2926 N. CAPITOL AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46208-0356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650924 | Kristine M Sullivan | Dietitian, Registered | 2700 Doctor M.l.k. Jr St., Indianapolis, IN 46208 | 2017-03-13 |
| 1760877591 | Michael A. Davis, D.d.s. Family Dental LLC | Dentist | 3737 N. Meridian Ste. 410, Indianapolis, IN 46208 | 2015-03-30 |
| 1831432574 | Curtis Stennett | Psychiatry & Neurology | 563 W Westfield Blvd, Indianapolis, IN 46208 | 2013-04-01 |
| 1417206392 | Planned Parenthood of Indiana Midtown | Clinic/Center | 3750 N. Meridian St., Suite 100, Indianapolis, IN 46208 | 2012-09-06 |
| 1629216932 | Mary Carol Calloway Follman | Occupational Therapist | 5502 N. Kenwood Ave., Indianapolis, IN 46208 | 2009-01-23 |
| 1871760751 | Jacob Odell Roberts | Chiropractor | 2413 N Meridian St, Indianapolis, IN 46208 | 2008-05-10 |
| 1285846360 | Midwest Residential Services, Inc. | Preferred Provider Organization | 2425 N. Meridian Street, Suite B, Indianapolis, IN 46208 | 2007-05-03 |
| 1881814879 | Cheryl Ann Moore | Social Worker | 3171 N. Meridian Street, Indianapolis, IN 46208 | 2007-05-01 |
| 1679612881 | Kenneth Ackles Sr. | Chiropractor | 3231 North Meridian Street, Suite 502, Indianapolis, IN 46208 | 2007-02-05 |
| 1013062918 | William D. Alexy | Psychologist | 6110 N. Meridian, W.dr, Indianapolis, IN 46208 | 2007-01-24 |
| Find all providers in zip 46208 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619337839 | Hancock Regional Hospital | Skilled Nursing Facility | 4904 War Admiral Dr, Indianapolis, IN 46237-9737 | 2016-03-01 |
| 1568881480 | Rabecca Howard | Skilled Nursing Facility | 5404 Georgetown Rd, Indianapolis, IN 46254-3781 | 2014-04-08 |
| 1972939361 | Witham Memorial Hospital | Skilled Nursing Facility | 8405 Clearvista Pl, Indianapolis, IN 46256-3737 | 2013-09-18 |
| 1396171781 | Witham Memorial Hospital | Skilled Nursing Facility | 1635 N Arlington Ave, Indianapolis, IN 46218-5181 | 2013-09-18 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1710205141 | Riverview Hospital | Skilled Nursing Facility | 3525 East Hanna Avenue, Indianapolis, IN 46237 | 2010-05-10 |
| 1619176641 | Witham Memorial Hospital | Skilled Nursing Facility | 9480 Priority Way West Dr, Indianapolis, IN 46240-1470 | 2007-07-11 |
| 1730384009 | Hp Pleasant Run, Inc. | Skilled Nursing Facility | 7465 Madison Ave, Indianapolis, IN 46227-6564 | 2007-06-18 |
| 1952452815 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2630 S Keystone Ave, Indianapolis, IN 46203 | 2007-01-16 |
| 1265515266 | Daviess County Hospital | Skilled Nursing Facility | 1747 N Rural St, Indianapolis, IN 46218-4425 | 2006-10-23 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46208 |
Please comment or provide details below to improve the information on DAVIESS COUNTY HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.