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Organization

DEACONESS HOSPITAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization

Contact information

Practice address
1413 N ELM STREET, HENDERSON, KY 42420-2776
(270) 561-0202
(270) 826-9774
Mailing address
PO BOX 632281, CINCINNATI, OH 45263-2281
(812) 450-6815
(812) 450-6822

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
363L00000X
Nurse Practitioner
363LA2100X
Acute Care Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
05/08/2024
Last updated
05/24/2024
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