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Organization
DEACONESS CLINIC, INC
Active
Organization
DEACONESS CLINIC, INC
Active
Other names
Deaconess Clinic Sleep
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA E WHITE (PRESIDENT & CEO)
(812) 450-2250
Entity
Organization
Contact information
Practice address
350 W COLUMBIA ST, STE 210, EVANSVILLE, IN 47710-1782
(812) 450-3852
(812) 450-6747
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-3852
(812) 450-6747
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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