DEACONESS CLINIC INC NPI 1417905688

NPI Information

DEACONESS CLINIC, INC is an occupational medicine clinic center in Evansville, IN. DEACONESS CLINIC, INC NPI is 1417905688. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Deaconess Comp Center Northpark.

The provider's business location address is:

4506 1ST AVE
EVANSVILLE, IN
ZIP 47710-624
Phone: (812) 428-6161
Fax: (812) 421-2883

The provider's authorized official is Linda E White .
The authorized official title is President & Ceo and has the following contact phone number (812) 450-2250.

The CLIA number assigned to this NPI record is 15D0361479 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/4/2006 and was last updated on 1/20/2016.

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:

Other Identifiers

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