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Contact Information

DEACONESS CLINIC INC
4133 GATEWAY BLVD
2ND FLOOR
NEWBURGH, IN47630-7918
 Phone: 812-853-5671
 Fax: 812-853-5697
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DEACONESS CLINIC INC

NPI Number 1568618841
LBN Legal business name DEACONESS CLINIC INC
Authorized official CHERYL WATHEN - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2008
Last updated 08/10/2017 - About 9 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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