Organization
DEACONESS HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL A WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
350 W COLUMBIA ST, STE 350, EVANSVILLE, IN 47710-5610
(812) 450-7700
(812) 450-7705
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-7700
(812) 450-7705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
12/31/2008
Last updated
11/14/2017
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