Organization
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIAN
Active
Parent organization
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA, LLC
Other names
Bonaventura Reproductive Medicine at The Women's Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA, LLC
Authorized official
MRS. CHRISTINA RYAN (CEO)
(812) 842-4200
Entity
Organization
Contact information
Practice address
4199 GATEWAY BLVD, SUITE 2900, NEWBURGH, IN 47630
(812) 842-4530
(812) 842-4535
Mailing address
PO BOX 3239, EVANSVILLE, IN 47731-3239
(812) 842-4530
(812) 842-4535
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01022970
STATE LICENSE NO.
IN
Enumeration date
06/18/2007
Last updated
03/07/2023
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