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Contact Information

DEACONESS SPECIALTY PHYSICIANS, INC
206 S WASHINGTON ST
MCLEANSBORO, IL62859
 Phone: 812-450-7899
 Fax: 812-450-6029
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DEACONESS SPECIALTY PHYSICIANS, INC

NPI Number 1437650116
LBN Legal business name DEACONESS SPECIALTY PHYSICIANS, INC
Authorized official CHERYL WATHEN - (SECRETARY/TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2018
Last updated 05/15/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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