Organization
DEACONESS HOSPITAL INC
Active
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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