Provider Demographics
NPI:1093802563
Name:NORTON KING'S DAUGHTERS' HEALTH INC
Entity Type:Organization
Organization Name:NORTON KING'S DAUGHTERS' HEALTH INC
Other - Org Name:KINGS DAUGHTERS HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-265-0199
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:IN
Mailing Address - Zip Code:47250
Mailing Address - Country:US
Mailing Address - Phone:812-265-0199
Mailing Address - Fax:812-265-0570
Practice Address - Street 1:630 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:IN
Practice Address - Zip Code:47250
Practice Address - Country:US
Practice Address - Phone:812-265-0800
Practice Address - Fax:812-265-0570
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTON KING'S DAUGHTERS' HEALTH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-06
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1088550002Medicare ID - Type Unspecified