Provider Demographics
NPI:1508800939
Name:NORTON-KING'S DAUGHTERS' HEALTH
Entity Type:Organization
Organization Name:NORTON-KING'S DAUGHTERS' HEALTH
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:812-801-0800
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:IN
Mailing Address - Zip Code:47250-0159
Mailing Address - Country:US
Mailing Address - Phone:812-801-0715
Mailing Address - Fax:812-265-6603
Practice Address - Street 1:2670 MICHIGAN RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:IN
Practice Address - Zip Code:47250-1832
Practice Address - Country:US
Practice Address - Phone:812-801-0671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTON-KING'S DAUGHTERS' HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-15
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100297750AMedicaid
IN1088550001Medicare PIN