Provider Demographics
NPI:1891855045
Name:NORTON KINGS DAUGHTERS HEALTH INC
Entity Type:Organization
Organization Name:NORTON KINGS DAUGHTERS HEALTH INC
Other - Org Name:NORTON KING'S 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:M
Authorized Official - Last Name:DOZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-801-0105
Mailing Address - Street 1:PO BOX 3285
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47732-3285
Mailing Address - Country:US
Mailing Address - Phone:812-801-0715
Mailing Address - Fax:
Practice Address - Street 1:1373 E SR 62
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:IN
Practice Address - Zip Code:47250-7328
Practice Address - Country:US
Practice Address - Phone:812-801-0715
Practice Address - Fax:812-265-6603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN03583416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100269220Medicaid
IN000000054324OtherANTHEM BCBS FACILITY #
IN000000054324OtherANTHEM BCBS FACILITY #