Organization
DEACONESS CLINIC, INC
Active
Other names
Deaconess Clinic, I
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL A WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
1204 WILLIAMS ST., OAKLAND CITY, IN 47660-1001
(812) 749-6187
(812) 749-4966
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 749-6187
(812) 749-4966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/21/2011
Last updated
08/10/2017
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