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DEACONESS HOSPITAL INC NPI 1841228822


NPI Information

NPI: 1841228822
Provider Name: DEACONESS HOSPITAL, INC

Doing Business As: DEACONESS EMERGENCY PHYSICIANS - GATEWAY

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
4011 GATEWAY BLVD
NEWBURGH, IN
ZIP 47630
Phone: (812) 450-3405
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DEACONESS HOSPITAL, INC is an emergency medicine in Newburgh, IN. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DEACONESS HOSPITAL, INC NPI is 1841228822. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Deaconess Emergency Physicians - Gateway.

The provider's business location address is:

4011 GATEWAY BLVD
NEWBURGH, IN
ZIP 47630-947
Phone: (812) 450-3405
Fax: (812) 450-3099

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 6/29/2006 and was last updated on 7/6/2017.


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
1207Q00000XFamily MedicineNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4363LF0000XNurse PractitionerFamilyNo
5207P00000XEmergency MedicineYes

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
1CG1119OTHERINDIANARR MEDICARE GROUP #
2534980MEDICARE ID-TYPE UNSPECIFIEDINDIANA
3CG1119MEDICARE PININDIANA
4CA2202MEDICARE PININDIANA
5100181080BMEDICAIDINDIANA

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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