Organization
THE HEART HOSPITAL AT DEACONESS GATEWAY, LLC
Active
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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