# DEACONESS CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deaconess Clinic Sleep
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194159418
- **Authorized official:** LINDA E WHITE (PRESIDENT & CEO)
- **Authorized official phone:** (812) 450-2250

## Contact information

- **Practice address:** 350 W COLUMBIA ST, STE 210, EVANSVILLE, IN 47710-1782
- **Practice address phone:** (812) 450-3852
- **Practice address fax:** (812) 450-6747
- **Mailing address:** PO BOX 1510, EVANSVILLE, IN 47706-1510
- **Mailing address phone:** (812) 450-3852
- **Mailing address fax:** (812) 450-6747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/22/2013
- **Last updated:** 08/22/2013