# DEACONESS HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deaconess Oak Hill Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598860819
- **Authorized official:** CHERYL A WATHEN (CFO)
- **Authorized official phone:** (812) 450-3296

## Contact information

- **Practice address:** 1750 OAK HILL RD, SUITE 100, EVANSVILLE, IN 47711-4364
- **Practice address phone:** (812) 424-4602
- **Practice address fax:** (812) 421-5147
- **Mailing address:** PO BOX 3407, EVANSVILLE, IN 47733-3407
- **Mailing address phone:** (812) 424-4602
- **Mailing address fax:** (812) 421-5147

## 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 | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 08/22/2017