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Organization
DEACONESS HOSPITAL, INC
Active
Organization
DEACONESS HOSPITAL, INC
Active
Other names
Deaconess Medical Group - Petersburg
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
106 W PIKE AVE, PETERSBURG, IN 47567-8750
(812) 354-1052
(812) 354-8280
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/31/2006
Last updated
01/02/2008
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