Organization
DEACONESS HOSPITAL, INC.
Active
Other names
Deaconess Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MCCOY (CEO)
(812) 450-2250
Entity
Organization
Contact information
Practice address
3150 WARRICK DR STE 100, BOONVILLE, IN 47601-8602
(812) 897-5660
(812) 897-5400
Mailing address
600 MARY ST, EVANSVILLE, IN 47710-1674
(812) 450-4673
(812) 450-4665
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/29/2014
Last updated
09/13/2018
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