DAVIESS-MARTIN MEDICAL CLINIC
NPI 1417015884
Clinic/Center - Rural Health in Loogootee, IN

Q: What is Daviess County Hospital's NPI number?

The NPI number for Daviess County Hospital is 1417015884. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider is doing business as Daviess-Martin Medical Clinic.

Q: 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.

Active since December 05, 2006CLIA 15D0932876 · Waiver

12546 E US HIGHWAY 50, LOOGOOTEE, IN 47553(812) 295-5095(812) 295-9403 Get Directions Write a Review

NPPES record last updated: January 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

On this page

About Daviess-martin Medical Clinic NPPES

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

DAVIESS-MARTIN MEDICAL CLINIC (NPI 1417015884) is a healthcare organization registered as a rural health in Loogootee, Indiana and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Anthony Showalter, Board Memeber, as its authorized official.

NPPES Registry Identity

NPI1417015884

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameDAVIESS COUNTY HOSPITAL

Location Address12546 E US HIGHWAY 50Loogootee, IN 47553-5220

Mailing Address12546 E Us Highway 50Loogootee, IN 47553-5220 · (812) 295-5095 · Fax (812) 295-9403

Phone(812) 295-5095

Fax(812) 295-9403

Organization SubpartNo

Authorized OfficialAnthony ShowalterBoard Memeber · (812) 254-8620

Enumeration DateDecember 5, 2006

Last NPPES UpdateJanuary 2, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2021

✔ NPI 1417015884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in IN · 02000751A

12546 E US HIGHWAY 50, Loogootee, IN 47553

Open in Google Maps ↗

Other Names 1

Doing Business AsDaviess-martin Medical Clinic

Other Identifiers 1

Medicaid200837490AIN

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 15D0932876

Daviess Martin Medical Clinic Lab · Loogootee, IN

Active · expires Aug 28, 2027

CLIA Number15D0932876

Laboratory TypeRural Health Clinic

Certificate Effective DateAugust 29, 2025

Certificate Expiration DateAugust 28, 2027

Laboratory DirectorDavid Nibel

Laboratory Phone(812) 295-5095

Laboratory LocationDaviess Martin Medical Clinic Lab12546 E Us Hwy 50, Loogootee, IN 47553

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

AGNES C BACALA M.D.

Family Medicine

12546 E US HIGHWAY 50
LOOGOOTEE, IN 47553

Martin County (812) 295-5095

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 1417015884. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider is doing business as Daviess-Martin Medical Clinic.

Where is Daviess County Hospital located?

Daviess County Hospital is located at 12546 E Us Highway 50, Loogootee, IN 47553. The listed phone number is (812) 295-5095.

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 15D0932876) is associated with this NPI, valid through August 28, 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.