Deaconess Clinic, INC.
Clinic/Center in Evansville, IN. Organization (NPI-2).
NPI number1114487642
StatusActive
Last updated in NPPESMar 21, 2019
Details
- NPI
- 1114487642
- Entity type
- Organization (NPI-2)
- Legal business name
- Deaconess Clinic, INC.
- Organization subpart
- No
- Enumeration date
- Mar 21, 2019
- Last updated
- Mar 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
4949 Healthy WayEvansville, IN 47715-1180
Phone 812-450-6879
Mailing address
Po Box 1510Evansville, IN 47706-1510
Phone 812-450-6879
Authorized official
Cheryl Annette Wathen
Cfo
8124503296
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All 19 Clinic/Center providers in Evansville · All 5,513 providers in Evansville
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