# DEACONESS HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deaconess Hospital Progressive Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659310696
- **Authorized official:** MR. HARRY L SMITH (PRESIDENT AND CEO)
- **Authorized official phone:** (812) 450-2252

## Contact information

- **Practice address:** 600 MARY STREET, EVANSVILLE, IN 47747-0001
- **Practice address phone:** (812) 450-5000
- **Mailing address:** 600 MARY STREET, EVANSVILLE, IN 47747-0001
- **Mailing address phone:** (812) 450-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 005074 | IN | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 08/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 005074 | LICENSE NUMBER | IN |