Organization
THE HEART HOSPITAL AT DEACONESS GATEWAY, LLC
Active
Other names
Deaconess Care Group at Heart Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L SILVA (CONTROLLER)
(812) 842-3985
Entity
Organization
Contact information
Practice address
4007 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 842-4784
(812) 842-3921
Mailing address
PO BOX 3199, EVANSVILLE, IN 47731-3199
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
208M00000X
Hospitalist Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200975380
—
IN
Enumeration date
08/27/2009
Last updated
11/09/2017
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