Organization
DEACONESS CLINIC INC
Active
Other names
Deaconess Clinic Morganfield
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
1284 US HIGHWAY 60 W, MORGANFIELD, KY 42437-6236
(270) 389-2323
(270) 389-0526
Mailing address
PO BOX 638705, CINCINNATI, OH 45263-8705
(270) 389-2323
(270) 389-0526
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/21/2021
Last updated
08/21/2023
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