Organization
DEACONESS HOSPITAL, INC
Active
Other names
Deaconess Home Medical Equipment and Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA E WHITE RN (PRESIDENT/CEO)
(812) 450-5000
Entity
Organization
Contact information
Practice address
701 GARFIELD AVE, EVANSVILLE, IN 47710-1771
(812) 450-4673
(812) 450-4665
Mailing address
600 MARY ST, EVANSVILLE, IN 47747-0001
(812) 450-4673
(812) 450-4665
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
69000101A
IN
3336H0001X
Home Infusion Therapy Pharmacy
60001691A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100456950
—
IN
05
—
35059390003
—
IL
05
—
90234451
—
KY
Enumeration date
06/27/2005
Last updated
03/25/2008
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