# DEACONESS CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deaconess Comp Center Northpark
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417905688
- **Authorized official:** LINDA E WHITE (PRESIDENT & CEO)
- **Authorized official phone:** (812) 450-2250

## Contact information

- **Practice address:** 4506 1ST AVE, EVANSVILLE, IN 47710-3624
- **Practice address phone:** (812) 428-6161
- **Practice address fax:** (812) 421-2883
- **Mailing address:** 329 W COLUMBIA ST, EVANSVILLE, IN 47710-1757
- **Mailing address phone:** (812) 450-7455
- **Mailing address fax:** (812) 450-2960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 01/20/2016