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Contact Information

DEACONESS CLINIC, INC
106 W PIKE AVE
PETERSBURG, IN47567-8750
 Phone: 812-354-1052
 Fax: 812-354-8280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DEACONESS CLINIC, INC

NPI Number 1831345792
LBN Legal business name DEACONESS CLINIC, INC
Authorized official CHERYL WATHEN - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2008
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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