<Unavail>
LBN: Deaconess Clinic, Inc
<Unavail> is an health care organization with primary practice located at 6221 Physicians Ct Suite 1, Evansville IN 47715-4031. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Allergy & Immunology is the primary health care specialty.
Deaconess Clinic, Inc can be contacted via phone (812) 479-3153, or through Wathen, Cheryl A via phone (812) 450-3296.
Contact Information
Primary practice address
6221 Physicians Ct Suite 1
Evansville IN 47715-4031
Phone: (812) 479-3153
Fax: (812) 473-8166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1093143216 |
|---|---|
| LBN Legal business name | Deaconess Clinic, Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Wathen, Cheryl A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 25th, 2013 |
| Last updated | Aug 10th, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093143216 | NPPES |
| Indiana | MEDICAID | 200910700 |
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