DAVIESS COUNTY HOSPITAL NPI 1417015884

NPI Information

  • NPI: 1417015884
  • Provider Name: DAVIESS COUNTY HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: DAVIESS-MARTIN MEDICAL CLINIC
  • CLIA Number: 15D0932876
  • Address: 12546 E US HIGHWAY 50
    LOOGOOTEE, IN
    ZIP 47553
  • Phone: (812) 295-5095

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NPI Details

DAVIESS COUNTY HOSPITAL is a rural health clinic center in Loogootee, IN. DAVIESS COUNTY HOSPITAL NPI is 1417015884. The provider is registered as an organization entity type.
The provider Is Doing Business As Daviess-martin Medical Clinic.

The provider's business location address is:

12546 E US HIGHWAY 50
LOOGOOTEE, IN
ZIP 47553-220
Phone: (812) 295-5095
Fax: (812) 295-9403

The provider's authorized official is Anthony Showalter .
The authorized official title is Board Memeber and has the following contact phone number (812) 254-8620.

The CLIA number assigned to this NPI record is 15D0932876 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 1/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural Health02000751AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200837490AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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