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
3711 CASEY RD, NEWBURGH, IN 47630-8343
(812) 490-1122
(812) 490-1123
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 490-1122
(812) 490-1123
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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