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Organization
DEACONESS CLINIC, INC
Active
Organization
DEACONESS CLINIC, INC
Active
Other names
Deaconess Comp Center Northpark
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA E WHITE (PRESIDENT & CEO)
(812) 450-2250
Entity
Organization
Contact information
Practice address
4506 1ST AVE, EVANSVILLE, IN 47710-3624
(812) 428-6161
(812) 421-2883
Mailing address
329 W COLUMBIA ST, EVANSVILLE, IN 47710-1757
(812) 450-7455
(812) 450-2960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
05/04/2006
Last updated
01/20/2016
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