Deaconess Family Medicine

LBN: Deaconess Hospital, Inc
Deaconess Family Medicine is an health care organization with primary practice located at 415 W Columbia St Ste 100, Evansville IN 47710-1656. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Deaconess Hospital, Inc can be contacted via phone (812) 450-6200, or through Wathen, Cheryl A via phone (812) 450-3296.

Contact Information

Primary practice address
415 W Columbia St Ste 100 Evansville IN 47710-1656
Phone: (812) 450-6200
Fax: (812) 450-6202
Website:
Map and Directions
Authorized official contact:
Name: Wathen, Cheryl A
Phone: (812) 450-3296

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1578727475
LBN Legal business name Deaconess Hospital, Inc
DBA Doing business as Deaconess Family Medicine
Authorized official Wathen, Cheryl A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2008
Last updated Aug 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578727475 NPPES
Indiana MEDICAID 100241900

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