Petersburg Medical Clinic

LBN: Daviess County Hospital
Petersburg Medical Clinic is an health care organization with primary practice located at 611 E Main St , Petersburg IN 47567-1247. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Daviess County Hospital can be contacted via phone (812) 354-8426, or through Showalter, Anthony via phone (812) 254-8620.

Contact Information

Primary practice address
611 E Main St Petersburg IN 47567-1247
Phone: (812) 354-8426
Fax: (812) 354-9134
Website:
Map and Directions
Authorized official contact:
Name: Showalter, Anthony
Phone: (812) 254-8620

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 01028253A Indiana

Profile Details

NPI number 1144388505
LBN Legal business name Daviess County Hospital
DBA Doing business as Petersburg Medical Clinic
Authorized official Showalter, Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Jan 2nd, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144388505 NPPES
Indiana MEDICAID 200042020A

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