Organization
DEACONESS HOSPITAL, INC
Active
Other names
Deaconess Hospital Progressive Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY L SMITH (PRESIDENT AND CEO)
(812) 450-2252
Entity
Organization
Contact information
Practice address
600 MARY STREET, EVANSVILLE, IN 47747-0001
(812) 450-5000
Mailing address
600 MARY STREET, EVANSVILLE, IN 47747-0001
(812) 450-5000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
005074
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005074
LICENSE NUMBER
IN
Enumeration date
06/05/2006
Last updated
08/19/2008
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