Organization
DEACONESS CLINIC, INC
Active
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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