Deaconess Clinic, Inc
Legal Business Name
Deaconess Clinic, Inc
NPI Number
1376799213
NPI Type
Organization
Enumeration Date
08/12/2008
Specialties
(Taxonomies)Name
Code
1041C0700X
207Q00000X
363L00000X
2080P0202X
2080P0205X
2086S0120X
2088P0231X
363A00000X
208800000X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 1510
4209 GATEWAY BLVD
City
Evansville
Newburgh
State
IN
IN
Postal Code
47706-1510
47630-8900
Country
US
US
Telephone Number
(812) 853-5300
(812) 853-5300
Authorized Official
Name
Cheryl Wathen
Title or Position
CFO
Telephone Number
(812) 450-3296
Identifiers
Identifier
200910700F
Identifier State
IN
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/11/2023