Organization
DEACONESS HOSPITAL INC
Active
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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