DEACONESS CLINIC INC. NPI 1033365986

NPI Information

NPI: 1033365986
Provider Name: DEACONESS CLINIC INC.

Doing Business As: DEACONESS CLINIC II

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4233 GATEWAY BLVD
NEWBURGH, IN
ZIP 47630
Phone: (812) 426-6638
Get Directions

DEACONESS CLINIC INC. is a family medicine in Newburgh, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DEACONESS CLINIC INC. NPI is 1033365986. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Deaconess Clinic Ii.

The provider's business location address is:

4233 GATEWAY BLVD
NEWBURGH, IN
ZIP 47630-900
Phone: (812) 426-6638
Fax: (812) 450-8109

The provider's authorized official is Cheryl A Wathen .
The authorized official title is Cfo and has the following contact phone number (812) 450-3296.

The enumeration date for this NPI number is 8/12/2008 and was last updated on 10/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207K00000X	Allergy & Immunology		No
2	207N00000X	Dermatology		No
3	207R00000X	Internal Medicine		No
4	207RG0100X	Internal Medicine	Gastroenterology	No
5	207RH0003X	Internal Medicine	Hematology & Oncology	No
6	207RR0500X	Internal Medicine	Rheumatology	No
7	2080P0206X	Pediatrics	Pediatric Gastroenterology	No
8	2084N0400X	Psychiatry & Neurology	Neurology	No
9	2086S0122X	Surgery	Plastic and Reconstructive Surgery	No
10	213E00000X	Podiatrist		No
11	363A00000X	Physician Assistant		No
12	363L00000X	Nurse Practitioner		No
13	363LA2100X	Nurse Practitioner	Acute Care	No
14	363LF0000X	Nurse Practitioner	Family	No
15	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200910900	MEDICAID	INDIANA
2	7100051640	OTHER	KENTUCKY	KY MEDICAID PODIATRY
3	7100318210	OTHER	KENTUCKY	KENTUCKY MEDICAID PHYSICIAN ASSISTANCE
4	7100302340	OTHER	KENTUCKY	KY MEDICAID NURSE PRACTITIONER
5	7100302450	OTHER	KENTUCKY	KY MEDICAID PHYSICIANS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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