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DEACONESS CLINIC INC NPI 1043466329


NPI Information

NPI: 1043466329
Provider Name: DEACONESS CLINIC, INC

Doing Business As: DEACONESS CLINIC I

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 15D0932642

Address:
15814 NEELEY ST
EVANSVILLE, IN
ZIP 47725
Phone: (812) 867-8991
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 1043466329. 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:

15814 NEELEY ST
EVANSVILLE, IN
ZIP 47725-420
Phone: (812) 867-8991
Fax: (812) 867-8995

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 CLIA number assigned to this NPI record is 15D0932642 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 7/8/2020.


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
1208000000XPediatricsNo
2363L00000XNurse PractitionerNo
3363LF0000XNurse PractitionerFamilyNo
4207Q00000XFamily MedicineYes

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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