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Organization

DEACONESS CLINIC INC

Active
Other names
Deaconess Clinic - MOB 6
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization

Contact information

Practice address
4219 GATEWAY BLVD, NEWBURGH, IN 47630
(812) 426-9545
(812) 858-4512
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 450-6822

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207RG0100X
Gastroenterology Physician
Primary
2080P0206X
Pediatric Gastroenterology Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LA2100X
Acute Care Nurse Practitioner

Other

Enumeration date
12/08/2020
Last updated
11/07/2024
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