Organization
DEACONESS HOSPITAL, INC
Active
Organization
DEACONESS HOSPITAL, INC
Active
Other names
Deaconess Medical Group - Princeton
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
105 N 2ND AVE, PRINCETON, IN 47670-1005
(812) 386-6560
(812) 385-5015
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG1119
RR MCARE GROUP #
IN
Enumeration date
06/15/2006
Last updated
10/19/2007
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