Organization
DEACONESS HOSPITAL, INC
Active
Other names
Deaconess Diabetes Prevention Program - Gateway
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
4011 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 426-9895
(812) 450-8109
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 426-9895
(812) 450-8109
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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