Organization
DEACONESS HOSPITAL INC
Active
Other names
Deaconess Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN EUGENE CAMP (MANAGER)
(812) 450-4673
Entity
Organization
Contact information
Practice address
4015 GATEWAY BLVD, NEWBURGH, IN 47630-8925
(812) 842-3789
Mailing address
600 MARY ST, EVANSVILLE, IN 47747-0001
(812) 450-4673
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
69000400A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35059390003
—
IL
05
—
90234451
—
KY
Enumeration date
06/09/2008
Last updated
04/07/2015
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