Organization
DEACONESS CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
930 W MAIN ST, BOONVILLE, IN 47601-1591
(812) 641-0088
(812) 641-0092
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 641-0088
(812) 641-0092
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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