Organization
DEACONESS HOSPITAL, INC
Active
Other names
Deaconess Riley Children's Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL A WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
4133 GATEWAY BLVD, STE 220, NEWBURGH, IN 47630-7953
(812) 858-3131
(812) 858-3140
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 858-3131
(812) 858-3140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200296920B
—
IN
Enumeration date
05/20/2006
Last updated
07/06/2017
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