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Organization
DEACONESS HOSPITAL, INC
Active
Organization
DEACONESS HOSPITAL, INC
Active
Other names
Deaconess Medical Group - Morganfield
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M STIVERS (SR VICE PRESIDENT, CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
1700 US HIGHWAY 60 W, MORGANFIELD, KY 42437-6242
(270) 389-0031
(270) 389-3707
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65940520
—
KY
05
—
78904588
—
KY
01
—
CJ3024
RR MCARE GROUP #
KY
Enumeration date
08/31/2006
Last updated
10/19/2007
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