# DEACONESS HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deaconess Medical Group - Morganfield
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700997392
- **Authorized official:** RICHARD M STIVERS (SR VICE PRESIDENT, CFO)
- **Authorized official phone:** (812) 450-3296

## Contact information

- **Practice address:** 1700 US HIGHWAY 60 W, MORGANFIELD, KY 42437-6242
- **Practice address phone:** (270) 389-0031
- **Practice address fax:** (270) 389-3707
- **Mailing address:** PO BOX 3407, EVANSVILLE, IN 47733-3407
- **Mailing address phone:** (812) 450-6815
- **Mailing address fax:** (812) 450-6822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 10/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65940520 | — | KY |
| 05 | — | 78904588 | — | KY |
| 01 | — | CJ3024 | RR MCARE GROUP \# | KY |