Organization
DEACONESS HOSPITAL, INC
Active
Other names
Deaconess Medical Group Henderson I
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M STIVERS (SR VICE PRESIDENT, CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
1413 N ELM ST, STE 106, HENDERSON, KY 42420-2768
(270) 827-0064
(270) 826-3338
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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