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DEACONESS HOSPITAL INC NPI 1851511745


NPI Information

NPI: 1851511745
Provider Name: DEACONESS HOSPITAL, INC

Doing Business As: DEACONESS NEURO TRANSITIONAL CARE CLINIC

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
4133 GATEWAY BLVD STE 290
NEWBURGH, IN
ZIP 47630
Phone: (812) 842-3082
Get Directions

DEACONESS HOSPITAL, INC is a neurology psychiatry neurology in Newburgh, IN. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DEACONESS HOSPITAL, INC NPI is 1851511745. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Deaconess Neuro Transitional Care Clinic.

The provider's business location address is:

4133 GATEWAY BLVD STE 290
NEWBURGH, IN
ZIP 47630-918
Phone: (812) 842-3082
Fax: (812) 842-4727

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 4/26/2007 and was last updated on 10/3/2022.


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 License Number License State Primary
1208100000XPhysical Medicine & RehabilitationNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
42084N0400XPsychiatry & NeurologyNeurologyYes

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
1200226410LMEDICAIDMICHIGAN

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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