Organization
DEACONESS HOSPITAL, INC.
Active
Other names
Deaconess Wound Care - Gateway MOB 6
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
4219 GATEWAY BLVD, NEWBURGH, IN 47630-7925
(812) 450-7700
(812) 450-7708
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-7700
(812) 450-7705
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
364S00000X
Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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