Organization
DEACONESS HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA E WHITE (PRESIDENT & CEO)
(812) 450-2250
Entity
Organization
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47747-0001
(812) 450-3324
(812) 450-7382
Mailing address
PO BOX 152, EVANSVILLE, IN 47701-0152
(812) 450-3324
(812) 450-7382
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
14-005074-1
IN
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000110710
ANTHEM 1500 BILLING
—
Enumeration date
10/27/2006
Last updated
01/14/2014
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