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Organization
DEACONESS CLINIC INC
Active
Organization
DEACONESS CLINIC INC
Active
Other names
Deaconess Clinic at Work Madisonville
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
343 E CENTER ST, MADISONVILLE, KY 42431-2135
(270) 827-0240
Mailing address
PO BOX 631767, CINCINNATI, OH 45263-1767
(812) 450-6815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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