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DEACONESS CLINIC INC. NPI 1023264306


NPI Information

NPI: 1023264306
Provider Name: DEACONESS CLINIC INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
8600 N KENTUCKY AVE
EVANSVILLE, IN
ZIP 47725
Phone: (812) 426-9565
Get Directions

DEACONESS CLINIC INC. is a family medicine in Evansville, 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 1023264306. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8600 N KENTUCKY AVE
EVANSVILLE, IN
ZIP 47725-302
Phone: (812) 426-9565
Fax: (812) 426-9572

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 10/27/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2208000000XPediatricsNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo
5207Q00000XFamily 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100051590OTHERKENTUCKYKY MEDICAID PHYSICIAN
27100051640OTHERKENTUCKYKY MEDICAID PODIATRY
37100051610OTHERKENTUCKYKY MEDICAID NP
4200910900MEDICAIDINDIANA

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: 4/28/2024

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