DEACONESS CLINIC INC NPI 1285880179

NPI Information

  • NPI: 1285880179
  • Provider Name: DEACONESS CLINIC, INC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: DEACONESS CLINIC I
  • CLIA Number: 15D0923906
  • Address: 802 E OAK ST
    FORT BRANCH, IN
    ZIP 47648
  • Phone: (812) 753-3942

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NPI Details

DEACONESS CLINIC, INC is a rural health clinic center in Fort Branch, IN. DEACONESS CLINIC, INC NPI is 1285880179. 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:

802 E OAK ST
FORT BRANCH, IN
ZIP 47648-666
Phone: (812) 753-3942
Fax: (812) 768-6283

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 15D0923906 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2008 and was last updated on 12/7/2023.

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
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthYes

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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