DAVIESS COUNTY HOSPITAL (NPI# 1609819572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609819572 |
| Entity Type | Organization |
| Organization Name | DAVIESS COUNTY HOSPITAL |
| Other Organization Name | PREMIER HEALTHCARE OF SHERIDAN |
| Practice Address |
803 S Hamilton St Sheridan IN 46069-1415 |
| Practice Telephone | 3177584426 |
| Practice Fax Number | 3177589270 |
| Mailing Telephone | 3177584426 |
| Mailing Fax Number | 3177589270 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | MAI YANG II (MANAGER) |
| Authorized Official Telephone | 8476742800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 15-000336-1 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100290170A | 05 |
| Other Name | Type Code |
|---|---|
| Premier Healthcare of Sheridan | 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 |
803 S HAMILTON ST |
| City | SHERIDAN |
| State | IN |
| Zip Code | 46069-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376060863 | Kelsey Mckinney | Occupational Therapist | 803 S Hamilton St, Sheridan, IN 46069-1415 | 2017-08-24 |
| 1821491655 | Deborah May | Occupational Therapy Assistant | 803 S Hamilton St, Sheridan, IN 46069-1415 | 2014-10-07 |
| 1730593369 | Tiffany Stanley | Occupational Therapist | 803 S Hamilton St, Sheridan, IN 46069-1415 | 2014-06-11 |
| 1659703783 | Megan Nicole Miller | Occupational Therapist | 803 S Hamilton St, Sheridan, IN 46069-1415 | 2013-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134645146 | Ella Community Pharmacy 2, LLC | Pharmacy | 508 E 10th St, Sheridan, IN 46069 | 2017-08-21 |
| 1285989335 | Betsy Ann Zile | Nurse Practitioner | 611 E 10th St, Sheridan, IN 46069 | 2012-07-16 |
| 1609191998 | Annette Christine Fearnot-kligerman | Family Medicine | 611 E 10th St, Sheridan, IN 46069 | 2010-03-30 |
| 1558446443 | Natalie Ann Roy | Dentist | 800 E 10th St., Sheridan, IN 46069-0066 | 2006-10-26 |
| 1245381227 | Sheridan Community Schools | Local Education Agency (LEA) | 509 E 4th St, Sheridan, IN 46069-1109 | 2007-01-16 |
| 1518193499 | Erin L Merrill-macy | Chiropractor | 306 S Main St, Sheridan, IN 46069-1113 | 2009-06-04 |
| 1881820769 | Creekside Chiropractic LLC | Chiropractor | 306 S Main St, Sheridan, IN 46069-1113 | 2009-06-04 |
| 1962996363 | Taylor Paige Baker | Speech-Language Pathologist | 1410 Bigleaf Cir, Sheridan, IN 46069-1299 | 2018-06-19 |
| 1336405158 | Town of Sheridan | Ambulance | 506 S Main St, Sheridan, IN 46069-1337 | 2012-04-05 |
| 1548599681 | Sheridan Fire Department | Ambulance | 506 S Main St, Sheridan, IN 46069-1337 | 2009-12-21 |
| Find all providers in zip 46069 | ||||
| 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 |
|---|---|---|---|---|
| 1396034112 | Alternative Elder Living, Inc. | Skilled Nursing Facility | 2311 Shirley Cv, Sheridan, WY 82801-8306 | 2011-04-01 |
| 1184745457 | Ssc Sheridan Operating Company LLC | Skilled Nursing Facility | 1851 Big Horn Ave, Sheridan, WY 82801-5913 | 2007-04-03 |
| 1083771679 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1990 W Loucks St, Sheridan, WY 82801-4500 | 2007-01-02 |
| 1134160989 | Madison County Finance | Skilled Nursing Facility | 326 Madison St, Sheridan, MT 59749-9636 | 2006-06-10 |
| 1033107610 | Diversicare Leasing Corp. | Skilled Nursing Facility | 113 S Briarwood Dr, Sheridan, AR 72150-8417 | 2005-10-08 |
| 1972964831 | Westview Operations, LLC | Skilled Nursing Facility | 1990 W Loucks St, Sheridan, WY 82801-4500 | 2016-03-18 |
| 1396129060 | Grant Snf Operations LLC | Skilled Nursing Facility | 113 S Briarwood Dr, Sheridan, AR 72150-8417 | 2015-07-13 |
| 1255764676 | Grant Operations, LLC | Skilled Nursing Facility | 113 S Briarwood Dr, Sheridan, AR 72150-8417 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618956 | Empowerme Rehabilitation Illinois, LLC | Skilled Nursing Facility | 3203 E Moores Pike, Bloomington, IN 47401-7122 | 2020-10-29 |
| 1629698808 | Decatur County Memorial Hospital | Skilled Nursing Facility | 6712 Restoracy Drive, Whitestown, IN 46075-0089 | 2020-04-17 |
| 1922586510 | Aperion Care Marion LLC | Skilled Nursing Facility | 614 W 14th St, Marion, IN 46953-2158 | 2018-08-06 |
| 1427548270 | Vibra Rehabilitation Hospital of Southern Indiana, LLC | Skilled Nursing Facility | 3104 Blackiston Boulevard, New Albany, IN 47150-9579 | 2018-05-17 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1366974404 | Mika Riddle | Skilled Nursing Facility | 407 W Walnut St, Van Buren, IN 46991 | 2017-03-29 |
| 1245787076 | Sara Steffe | Skilled Nursing Facility | 1015 Virginia St, Ferdinand, IN 47532-9285 | 2016-09-09 |
| 1770030504 | Valerie Burdette | Skilled Nursing Facility | 1872 E County Road 825 S, Oakland City, IN 47660-8911 | 2016-09-09 |
| 1205286507 | Christina Basham | Skilled Nursing Facility | 710 Bluffview Dr, Angola, IN 46703-2206 | 2016-06-16 |
| 1164878583 | Good Samaritan Hospital | Skilled Nursing Facility | 811 E. Baseline Road, Evansville, IN 47725-9340 | 2016-05-05 |
| Find all providers with the same taxonomy | ||||
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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.