DEACONESS CLINIC INC NPI 1306092689

NPI Information

NPI: 1306092689
Provider Name: DEACONESS CLINIC, INC

Doing Business As: DEACONESS CLINIC I

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4015 GATEWAY BLVD
NEWBURGH, IN
ZIP 47630
Phone: (812) 858-9400
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 1306092689. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Deaconess Clinic I.

The provider's business location address is:

4015 GATEWAY BLVD
NEWBURGH, IN
ZIP 47630-925
Phone: (812) 858-9400
Fax: (812) 858-9571

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 8/18/2008 and was last updated on 9/16/2020.

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	1041C0700X	Social Worker	Clinical	No
2	207K00000X	Allergy & Immunology		No
3	207R00000X	Internal Medicine		No
4	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
5	207RG0100X	Internal Medicine	Gastroenterology	No
6	207RH0002X	Internal Medicine	Hospice and Palliative Medicine	No
7	207RP1001X	Internal Medicine	Pulmonary Disease	No
8	207Y00000X	Otolaryngology		No
9	2080P0206X	Pediatrics	Pediatric Gastroenterology	No
10	231H00000X	Audiologist		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	200910700A	MEDICAID	INDIANA

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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