Organization
DEACONESS CLINIC, INC
Active
Other names
Deaconess Clinic Multispecialty Union
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
4604 US HIGHWAY 60 W STE E, MORGANFIELD, KY 42437-6515
(270) 389-5523
(270) 389-5526
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(270) 389-5523
(270) 389-5526
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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