DEACONESS CLINIC INC NPI 1093000283

NPI Information

  • NPI: 1093000283
  • Provider Name: DEACONESS CLINIC INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: DEACONESS CLINIC I
  • CLIA Number: 15D0965649
  • Address: 8600 UNIVERSITY BLVD
    ROOM HP0091
    EVANSVILLE, IN
    ZIP 47712
  • Phone: (812) 465-1250

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NPI Details

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 1093000283. 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:

8600 UNIVERSITY BLVD
ROOM HP0091
EVANSVILLE, IN
ZIP 47712-534
Phone: (812) 465-1250
Fax: (812) 465-7170

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 15D0965649 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2011 and was last updated on 8/10/2017.

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
1363L00000XNurse PractitionerNo
2207R00000XInternal MedicineNo
31041C0700XSocial WorkerClinicalNo
4207Q00000XFamily 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
1257900MEDICARE PININDIANA

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: 11/21/2025

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