Organization
THE HEART HOSPITAL AT DEACONESS GATEWAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA MALOTTE (ADMINISTRATOR)
(812) 842-4783
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) 842-4784
(812) 842-3921
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200935230A
—
IN
05
—
7100103930
—
KY
Enumeration date
04/17/2008
Last updated
04/02/2014
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