Organization
DEACONESS HEART CENTER CATH LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A WEPSIC MD (CHAIRMAN)
(812) 464-9133
Entity
Organization
Contact information
Practice address
415 W COLUMBIA ST, EVANSVILLE, IN 47710-1656
(812) 464-0547
(812) 464-4485
Mailing address
415 W COLUMBIA ST, EVANSVILLE, IN 47710-1656
(812) 464-0547
(812) 464-4485
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000362389
ANTHEM
—
Enumeration date
05/23/2006
Last updated
08/22/2020
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