# DEACONESS WELBORN SURGICAL HOLDING COMPANY, LLC

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

## Provider details

- **NPI number:** 1700035250
- **Authorized official:** RICHARD M STIVERS (SECRETARY/TREASURER)
- **Authorized official phone:** (812) 450-3296

## Contact information

- **Practice address:** 421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
- **Practice address phone:** (812) 426-9412
- **Mailing address:** PO BOX 3868, EVANSVILLE, IN 47737-3868
- **Mailing address phone:** (812) 426-9506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/09/2008
- **Last updated:** 05/21/2009