# DEACONESS CLINIC INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Deaconess Clinic at Work Madisonville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376345454
- **Authorized official:** CHERYL ANNETTE WATHEN (CFO)
- **Authorized official phone:** (812) 450-3296

## Contact information

- **Practice address:** 343 E CENTER ST, MADISONVILLE, KY 42431-2135
- **Practice address phone:** (270) 827-0240
- **Mailing address:** PO BOX 631767, CINCINNATI, OH 45263-1767
- **Mailing address phone:** (812) 450-6815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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