DAVIESS COUNTY HOSPITAL (NPI# 1447641683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447641683 |
| Entity Type | Organization |
| Organization Name | DAVIESS COUNTY HOSPITAL |
| Other Organization Name | STONECROFT HEALTH CAMPUS |
| Practice Address |
363 S Fieldstone Blvd Bloomington IN 47403-9806 |
| Mailing Address |
Po Box 221648 Louisville KY 40252-1648 |
| Practice Telephone | 8128250551 |
| Practice Fax Number | 8128250552 |
| Mailing Telephone | 5024125847 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | DAVID BIXLER (CEO) |
| Authorized Official Telephone | 8122542760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201312610A | 05 |
| Other Name | Type Code |
|---|---|
| Stonecroft Health Campus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1467511790 | Daviess County Hospital | Clinic/Center | 427 N 1st St, Montgomery, IN 47758 | 2006-12-06 |
| Street Address |
363 S FIELDSTONE BLVD |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-9806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| 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 |
|---|---|---|---|---|
| 1023618956 | Empowerme Rehabilitation Illinois, LLC | Skilled Nursing Facility | 3203 E Moores Pike, Bloomington, IN 47401-7122 | 2020-10-29 |
| 1639520034 | Luther Oaks Inc | Skilled Nursing Facility | 601 Lutz Rd, Bloomington, IL 61704-8608 | 2016-06-27 |
| 1023425915 | Tanja Lutman | Skilled Nursing Facility | 1207 Dover Rd, Bloomington, IL 61704-7608 | 2014-07-13 |
| 1881009660 | Arba Care Center of Bloomington LLC | Skilled Nursing Facility | 1509 Calhoun St, Bloomington, IL 61701-1514 | 2014-06-30 |
| 1316375686 | Daviess County Hospital | Skilled Nursing Facility | 3043 N Lintel Dr, Bloomington, IN 47404-8945 | 2013-10-24 |
| 1346315165 | Westminster Village Inc | Skilled Nursing Facility | 2025 E. Lincoln, Bloomington, IL 61701-5995 | 2006-11-21 |
| 1598789240 | Presbyterian Homes Bloomington Care Center, Inc | Skilled Nursing Facility | 9889 Penn Ave S, Bloomington, MN 55431-2912 | 2006-07-26 |
| 1821040031 | Hendricks County Hospital | Skilled Nursing Facility | 155 E Burks Dr, Bloomington, IN 47401-8459 | 2006-05-16 |
| 1386695476 | Ggnsc Minneapolis Bloomington LLC | Skilled Nursing Facility | 9200 Nicollet Ave S, Bloomington, MN 55420-3714 | 2006-05-13 |
| 1497712228 | Petersen Health Operations, LLC | Skilled Nursing Facility | 1925 S Main St, Bloomington, IL 61704-7301 | 2006-04-26 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| 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.