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Contact Information

DEACONESS HOSPITAL, INC
4209 GATEWAY BLVD.
NEWBURGH, IN47630
 Phone: 812-450-3784
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DEACONESS HOSPITAL, INC

NPI # 1801313002
LBN Legal business name DEACONESS HOSPITAL, INC
Authorized official THOMAS FITE - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2017
Last updated 08/28/2017 - About 9 years ago
Identifiers
Other 1568469 NCPDP
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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