Deaconess Primary Care For Seniors - North

LBN: Deaconess Hospital, Inc
Deaconess Primary Care For Seniors - North is an health care organization with primary practice located at 4498 N 1St Ave , Evansville IN 47710-3622. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty. Deaconess Hospital, Inc can be contacted via phone (812) 436-7280, or through Wathen, Cheryl A via phone (812) 450-3296.

Contact Information

Primary practice address
4498 N 1St Ave Evansville IN 47710-3622
Phone: (812) 436-7280
Fax: (812) 436-7290
Website:
Map and Directions
Authorized official contact:
Name: Wathen, Cheryl A
Phone: (812) 450-3296

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1750399259
LBN Legal business name Deaconess Hospital, Inc
DBA Doing business as Deaconess Primary Care For Seniors - North
Authorized official Wathen, Cheryl A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 3rd, 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 1750399259 NPPES
Indiana MEDICAID 200180960A
Indiana Other CG1119

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