Organization
DEACONESS HOSPITAL, INC
Active
Other names
Deaconess Home Medical East
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
2017 N GREEN RIVER RD, EVANSVILLE, IN 47715-1909
(812) 471-0351
(812) 471-0379
Mailing address
600 MARY ST, EVANSVILLE, IN 47710-1674
(812) 450-4673
(812) 450-4665
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100456950G
—
IN
Enumeration date
12/30/2014
Last updated
11/30/2018
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