Organization
DEACONESS VNA PLUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEIGH ANN GAMBLE (DIRECTOR)
(812) 450-3980
Entity
Organization
Contact information
Practice address
611 HARRIET ST, EVANSVILLE, IN 47710-1773
(812) 450-7022
Mailing address
611 HARRIET ST, EVANSVILLE, IN 47710-1773
(812) 450-7021
(812) 450-7048
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
15-005939-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183988
BLUE CROSS EVANSVILLE
IN
01
—
184508
BLUE CROSS PRINCETON
IN
05
—
200141390A
—
IN
01
—
200141390B
MEDICAID- PRINCETON
IN
01
—
200141390C
MEDICAID- TELL CITY
—
01
—
257417
BLUE CROSS TELL CITY
IN
Enumeration date
10/26/2006
Last updated
05/31/2024
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