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Organization

DEACONESS CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization

Contact information

Practice address
1355 US HIGHWAY 41A S, DIXON, KY 42409-9447
(270) 639-9101
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
09/27/2022
Last updated
04/27/2023
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