# DEACONESS UNION COUNTY HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deaconess Union County Dixon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730762170
- **Authorized official:** CHERYL A WATHEN (CFO)
- **Authorized official phone:** (812) 450-3296

## Contact information

- **Practice address:** 1355 US HIGHWAY 41A S, DIXON, KY 42409-9447
- **Practice address phone:** (270) 639-9101
- **Practice address fax:** (270) 639-9332
- **Mailing address:** PO BOX 638705, CINCINNATI, OH 45263-8705
- **Mailing address phone:** (270) 639-9101
- **Mailing address fax:** (270) 639-9332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/04/2021
- **Last updated:** 05/04/2021