Organization
DEACONESS HOSPITAL, INC
Active
Other names
USI Student Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA E WHITE (PRESIDENT & CEO)
(812) 450-2250
Entity
Organization
Contact information
Practice address
8600 UNIVERSITY BLVD, RM HP0091, EVANSVILLE, IN 47712-3534
(812) 465-1250
(812) 465-7170
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100272080K
—
IN
01
—
CG1119
RR MCARE GROUP #
IN
Enumeration date
08/14/2006
Last updated
09/01/2010
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