Organization
DEACONESS CLINIC, INC
Active
Other names
Deaconess Comp Center Gateway
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA E WHITE (PRESIDENT & CEO)
(812) 450-2250
Entity
Organization
Contact information
Practice address
4011 GATEWAY BLVD STE 100, NEWBURGH, IN 47630-8947
(812) 858-2100
(812) 858-2120
Mailing address
PO BOX 3366, EVANSVILLE, IN 47732-3366
(812) 450-7455
(812) 450-2960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200191200B
—
IN
Enumeration date
05/04/2006
Last updated
01/14/2022
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