Organization
DEACONESS CLINIC, INC.
Active
Other names
Deaconess Clinic - S Green River Rd
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
1000 S GREEN RIVER RD, EVANSVILLE, IN 47715-6802
(812) 450-6879
(812) 858-4586
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/13/2020
Last updated
11/17/2020
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