Organization
DEACONESS CLINIC, INC
Active
Other names
Deaconess Clinic I
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL A WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
685 VAIL STREET, PRINCETON, IN 47670-9510
(812) 386-6560
(812) 385-5015
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 386-6560
(812) 385-5015
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/12/2008
Last updated
12/07/2023
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