DAVIESS COUNTY HOSPITAL NPI 1467511790

NPI Information

  • NPI: 1467511790
  • Provider Name: DAVIESS COUNTY HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: MONTGOMERY MEDICAL CLINIC
  • CLIA Number: 15D1083746
  • Address: 427 N 1ST ST
    MONTGOMERY, IN
    ZIP 47758
  • Phone: (812) 486-2842

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NPI Details

DAVIESS COUNTY HOSPITAL is a rural health clinic center in Montgomery, IN. DAVIESS COUNTY HOSPITAL NPI is 1467511790. The provider is registered as an organization entity type.
The provider Is Doing Business As Montgomery Medical Clinic.

The provider's business location address is:

427 N 1ST ST
MONTGOMERY, IN
ZIP 47758
Phone: (812) 486-2842
Fax: (812) 486-2784

The provider's authorized official is Gary Kendrick .
The authorized official title is Ceo and has the following contact phone number (812) 254-8620.

The CLIA number assigned to this NPI record is 15D1083746 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2006 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 Health01057351AINDIANAYes

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
1100270240DMEDICAIDINDIANA

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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