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Organization

DEACONESS HOSPITAL, INC.

Active
Parent organization
DEACONESS HOSPITAL, INC.
Other names
Deaconess Home Medical Equipment
Organization subpart
Yes

Provider details

NPI number
Legal business name
DEACONESS HOSPITAL, INC.
Authorized official
CHERYL ANNETTE WATHEN (SENIOR VICE PRESIDENT)
(812) 450-3296
Entity
Organization

Contact information

Practice address
213 S US HIGHWAY 231 STE C, JASPER, IN 47546-3244
(812) 996-0620
(812) 996-5704
Mailing address
701 GARFIELD AVE, EVANSVILLE, IN 47710-1771
(812) 450-4673
(812) 450-4665

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BX2000X
Oxygen Equipment & Supplies (DME)

Other

Enumeration date
06/14/2024
Last updated
06/14/2024
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