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Organization
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA, LLC
Active
Organization
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA, LLC
Active
Parent organization
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN IN, LLC
Other names
TRI STATE PERINATOLOGY AT THE WOMEN'S HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN IN, LLC
Authorized official
CHRISTINA M RYAN (CEO)
(812) 842-4200
Entity
Organization
Contact information
Practice address
4199 GATEWAY BLVD STE 3100, NEWBURGH, IN 47630-7906
(812) 842-4550
(812) 842-4549
Mailing address
PO BOX 637273, CINCINNATI, OH 45263-7273
(812) 842-4260
(812) 602-3174
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
364SP1700X
Perinatal Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200921280A
—
IN
Enumeration date
04/25/2008
Last updated
05/29/2020
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