Grand Avenue Pediatrics

LBN: Daviess County Hospital
Grand Avenue Pediatrics is an health care organization with primary practice located at 1402 Grand Ave , Washington IN 47501-2122. 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) 257-0383, or through Showalter, Anthony via phone (812) 254-8620.

Contact Information

Primary practice address
1402 Grand Ave Washington IN 47501-2122
Phone: (812) 257-0383
Fax: (812) 257-0433
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

Profile Details

NPI number 1356468631
LBN Legal business name Daviess County Hospital
DBA Doing business as Grand Avenue Pediatrics
Authorized official Showalter, Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
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 1356468631 NPPES
Indiana MEDICAID 100270240C

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