DEACONESS CLINIC INC. NPI 1114487642

NPI Information

  • NPI: 1114487642
  • Provider Name: DEACONESS CLINIC, INC.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 15D2118637
  • Address: 4949 HEALTHY WAY
    EVANSVILLE, IN
    ZIP 47715
  • Phone: (812) 450-6879

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NPI Details

DEACONESS CLINIC, INC. is a clinic center in Evansville, IN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DEACONESS CLINIC, INC. NPI is 1114487642. The provider is registered as an organization entity type.

The provider's business location address is:

4949 HEALTHY WAY
EVANSVILLE, IN
ZIP 47715-180
Phone: (812) 450-6879

The provider's authorized official is Cheryl Annette 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 15D2118637 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2019 and was last updated on 3/21/2019.

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
1261Q00000XClinic/CenterYes

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: 3/30/2025

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