Organization
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA, LLC
Active
Other names
The Women's Hospital Provider Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA RYAN (CHIEF EXECUTIVE OFFICER)
(812) 842-4222
Entity
Organization
Contact information
Practice address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-4200
(812) 842-4227
Mailing address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-4200
(812) 842-4227
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
170300000X
Genetic Counselor (M.S.)
74000008A
IN
207V00000X
Obstetrics & Gynecology Physician
130028551
IN
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
207VX0201X
Gynecologic Oncology Physician
Primary
130028551
IN
208200000X
Plastic Surgery Physician
01067142A
IN
225100000X
Physical Therapist
05002666A
IN
363A00000X
Physician Assistant
140028551
IN
363L00000X
Nurse Practitioner
130028551
IN
363LF0000X
Family Nurse Practitioner
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
363LN0005X
Critical Care Neonatal Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100319460
—
IN
05
—
200245730
—
IN
05
—
200871730
—
IN
05
—
200931070
—
IN
05
—
200934360
—
IN
05
—
200950810
—
IN
05
—
200951280
—
IN
05
—
201003570
—
IN
05
—
201003930
—
IN
05
—
201044710
—
IN
05
—
201046630A
—
IN
05
—
201046630B
—
IN
05
—
201118520
—
IN
05
—
201380400
—
IN
05
—
201386290A
—
IN
05
—
201395600A
—
IN
Enumeration date
01/11/2012
Last updated
07/08/2022
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