Organization
DEACONESS CLINIC INC
Active
Organization
DEACONESS CLINIC INC
Active
Other names
Deaconess Clinic - Henderson MOB
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
1305 N ELM ST STE G, HENDERSON, KY 42420-2783
(270) 827-0064
(270) 826-3338
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/05/2019
Last updated
08/20/2025
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