DAVIESS COUNTY HOSPITAL (NPI# 1235177981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235177981 |
| Entity Type | Organization |
| Organization Name | DAVIESS COUNTY HOSPITAL |
| Other Organization Name | PREMIER HEALTHCARE OF FORT WAYNE |
| Practice Address |
7519 Winchester Rd Fort Wayne IN 46819-2242 |
| Practice Telephone | 2607477435 |
| Practice Fax Number | 2607479282 |
| Mailing Telephone | 2607477435 |
| Mailing Fax Number | 2607479282 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | MAI YANG (MANAGER) |
| Authorized Official Telephone | 8476742800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 15-000250-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100289980A | 05 |
| Other Name | Type Code |
|---|---|
| Premier Healthcare of Fort Wayne | 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 |
| 1013133776 | Daviess County Hospital | Skilled Nursing Facility | 2926 N. Capitol Ave, Indianapolis, IN 46208-0356 | 2007-04-18 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | DAVIESS COUNTY HOSPITAL | 1314 E. Walnut Street, P O Box 760, Washington, IN 47501 |
| Street Address |
7519 WINCHESTER RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46819-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255602611 | Cynthia K Almodovar | Occupational Therapy Assistant | 7519 Winchester Rd, Fort Wayne, IN 46819-2242 | 2012-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093030066 | Amber N Hollins | Occupational Therapy Assistant | 2027 Woodhaven Dr, Fort Wayne, IN 46819-1038 | 2010-04-02 |
| 1073610689 | Mir Abdul Karim Moshref | Family Medicine | 2110 Lower Huntington Rd, Fort Wayne, IN 46819-1235 | 2006-09-19 |
| 1265863187 | Karim Moshref Md PC | Clinic/Center | 2110 Lower Huntington Rd, Fort Wayne, IN 46819-1235 | 2013-12-02 |
| 1558669762 | Abigail Jordan Fulton | Physical Therapy Assistant | 6530 Maywood Cir, Fort Wayne, IN 46819-1246 | 2011-03-11 |
| 1659400711 | Dianne R. Stitzer | Psychologist | 1410 Lower Huntington Rd, Fort Wayne, IN 46819-1359 | 2007-03-05 |
| 1831279447 | David K. Harrison Dds PC | Dentist | 6412 Winchester Rd, Fort Wayne, IN 46819-1550 | 2006-10-17 |
| 1194265652 | Waseem M. Taraji | Dentist | 6412 Winchester Rd, Fort Wayne, IN 46819-1550 | 2017-03-03 |
| 1346502713 | Keith Harrison | Dentist | 6412 Winchester Rd, Fort Wayne, IN 46819-1550 | 2012-06-12 |
| 1720209000 | David K Harrison | Dentist | 6412 Winchester Rd, Fort Wayne, IN 46819-1550 | 2007-05-02 |
| 1134319437 | Diann Rosellen Deutsch | Registered Nurse | 2220 Dale Dr, Fort Wayne, IN 46819-1604 | 2007-08-01 |
| Find all providers in zip 46819 | ||||
| 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 |
|---|---|---|---|---|
| 1023487592 | Lindsey Marie Fuller | Skilled Nursing Facility | 10603 Wild Flower Pl, Fort Wayne, IN 46845-1687 | 2015-09-15 |
| 1336548353 | Pulaski Memorial Hospital | Skilled Nursing Facility | 6050 S Cr 800 E-92, Fort Wayne, IN 46814-9201 | 2014-08-14 |
| 1154766459 | Major Hospital | Skilled Nursing Facility | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2013-05-01 |
| 1326310400 | Riverview Hospital | Skilled Nursing Facility | 4111 Park Place Drive, Fort Wayne, IN 46845-8793 | 2012-02-03 |
| 1710280888 | Kelly Michelle Wood | Skilled Nursing Facility | 8528 Killeen Run, Fort Wayne, IN 46835-9657 | 2010-12-13 |
| 1194940205 | Recovery Health Services, Inc | Skilled Nursing Facility | 12101 Lima Rd, Fort Wayne, IN 46818-8903 | 2007-04-16 |
| 1871623041 | Henry County Memorial Hospital | Skilled Nursing Facility | 1400 Medical Park Dr, Fort Wayne, IN 46825-5832 | 2007-03-06 |
| 1740315878 | Henry County Memorial Hospital | Skilled Nursing Facility | 5700 Wilkie Dr, Fort Wayne, IN 46804-1662 | 2007-02-22 |
| 1326180803 | Woodlawn Hospital | Skilled Nursing Facility | 3136 Goeglein Rd, Fort Wayne, IN 46815-6685 | 2007-02-13 |
| 1528130432 | Indiana Health & Rehabilitation Center | Skilled Nursing Facility | 3811 Parnell Ave, Fort Wayne, IN 46805-1409 | 2006-11-15 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46819 |
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.