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DEACONESS CLINIC INC NPI 1568618841


NPI Information

NPI: 1568618841
Provider Name: DEACONESS CLINIC INC

Doing Business As: DEACONESS CLINIC I

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4133 GATEWAY BLVD
2ND FLOOR
NEWBURGH, IN
ZIP 47630
Phone: (812) 853-5671
Get Directions

DEACONESS CLINIC INC is a pediatrics in Newburgh, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DEACONESS CLINIC INC NPI is 1568618841. 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:

4133 GATEWAY BLVD
2ND FLOOR
NEWBURGH, IN
ZIP 47630-918
Phone: (812) 853-5671
Fax: (812) 853-5697

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 8/10/2017.


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 License Number License State Primary
12080P0206XPediatricsPediatric GastroenterologyNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4208000000XPediatricsYes

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
1257900MEDICARE PININDIANA

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

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