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GRAND AVENUE PEDIATRICS
NPI 1356468631
Clinic/Center - Rural Health in Washington, IN

Active since March 23, 2007CLIA 15D0981113 · Waiver
1402 GRAND AVE, WASHINGTON, IN 47501(812) 257-0383(812) 257-0433 Get Directions Write a Review

NPPES record last updated: January 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2021, Aug 18, 2017 (2 updates tracked since 2017).

About Grand Avenue Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND AVENUE PEDIATRICS (NPI 1356468631) is a healthcare organization registered as a rural health in Washington, Indiana and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Anthony Showalter, President Of The Board Of Directors, as its authorized official.

NPPES Registry Identity

NPI1356468631
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDAVIESS COUNTY HOSPITAL
Location Address1402 GRAND AVEWashington, IN 47501-2122
Mailing Address1402 Grand AveWashington, IN 47501-2122 · (812) 257-0383 · Fax (812) 257-0433
Phone(812) 257-0383
Fax(812) 257-0433
Organization SubpartNo
Authorized OfficialAnthony ShowalterPresident Of The Board Of Directors · (812) 254-8620
Enumeration DateMarch 23, 2007
Last NPPES UpdateJanuary 2, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2021
✔ NPI 1356468631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1402 GRAND AVE, Washington, IN 47501
Open in Google Maps ↗

Other Names 1

Doing Business AsGrand Avenue Pediatrics

Other Identifiers 1

Medicaid100270240CIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0981113

Daviess Community Hospital · Washington, IN
Active · expires Jul 10, 2027
CLIA Number15D0981113
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorTanya D. De La Vergne
Laboratory Phone(812) 257-0383
Laboratory LocationDaviess Community Hospital14020 Grande Ave, Washington, IN 47501
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TANYA DE LA VERGNE M.D.
Pediatrics
1402 GRAND AVE
WASHINGTON, IN 47501
Daviess County (812) 257-0383
CORNEL S GRAY LCSW
Social Worker (Clinical)
1402 GRAND AVE
WASHINGTON, IN 47501
Daviess County (812) 254-8634
DAVIESS COUNTY HOSPITAL
Specialist
1402 GRAND AVE
WASHINGTON, IN 47501
Daviess County (812) 254-2760
AMY L ALEXANDER LCSW
Social Worker (Clinical)
1402 GRAND AVE, DCH BEHAVIORAL HEALTH CLINIC
WASHINGTON, IN 47501
Daviess County (812) 254-8620
KELLI R BARNARD RD
Dietitian, Registered
1402 GRAND AVE
WASHINGTON, IN 47501
Daviess County (812) 254-2250
REBEKAH HEDRICK NP
Nurse Practitioner (Family)
1402 GRAND AVE
WASHINGTON, IN 47501
Daviess County (812) 254-6696
SUSAN ELAINE KRAFT NP-C
Nurse Practitioner (Family)
1402 GRAND AVE
WASHINGTON, IN 47501
Daviess County (812) 254-6696
TAMELA L TWITTY NP
Nurse Practitioner
1402 GRAND AVE
WASHINGTON, IN 47501
Daviess County (812) 254-6696

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daviess County Hospital's NPI number?

The NPI number for Daviess County Hospital is 1356468631. It was assigned to this organization in the NPPES registry on March 23, 2007. The provider is doing business as Grand Avenue Pediatrics.

Where is Daviess County Hospital located?

Daviess County Hospital is located at 1402 Grand Ave, Washington, IN 47501. The listed phone number is (812) 257-0383.

What is Daviess County Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Daviess County Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0981113) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Daviess County Hospital accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Daviess County Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daviess County Hospital was last updated on January 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.