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DEACONESS CLINIC INC NPI 1356577985


NPI Information

NPI: 1356577985
Provider Name: DEACONESS CLINIC, INC

Doing Business As: DEACONESS CLINIC II

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
4055 GATEWAY BLVD
NEWBURGH, IN
ZIP 47630
Phone: (812) 842-3051
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DEACONESS CLINIC, INC is a hematology and oncology internal medicine in Newburgh, IN. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DEACONESS CLINIC, INC NPI is 1356577985. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Deaconess Clinic Ii.

The provider's business location address is:

4055 GATEWAY BLVD
NEWBURGH, IN
ZIP 47630-947
Phone: (812) 842-3051
Fax: (812) 858-3060

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 enumeration date for this NPI number is 6/10/2009 and was last updated on 6/3/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0000XInternal MedicineHematologyNo
2208800000XUrologyNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo
5363LA2100XNurse PractitionerAcute CareNo
6364S00000XClinical Nurse SpecialistNo
7207RH0003XInternal MedicineHematology & OncologyYes

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: 5/5/2024

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