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DEACONESS HOSPITAL INC NPI 1447264759


NPI Information

NPI: 1447264759
Provider Name: DEACONESS HOSPITAL, INC

Doing Business As: DEACONESS PRIMARY CARE FOR SENIORS - WEINBACH

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 15D0950029

Address:
1750 OAK HILL RD
EVANSVILLE, IN
ZIP 47711
Phone: (812) 485-2580
Get Directions

DEACONESS HOSPITAL, INC is a geriatric medicine internal medicine in Evansville, IN. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DEACONESS HOSPITAL, INC NPI is 1447264759. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Deaconess Primary Care For Seniors - Weinbach.

The provider's business location address is:

1750 OAK HILL RD
EVANSVILLE, IN
ZIP 47711-364
Phone: (812) 485-2580
Fax: (812) 450-2590

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 15D0950029 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 7/3/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207QG0300XFamily MedicineGeriatric MedicineNo
3207R00000XInternal MedicineNo
4363L00000XNurse PractitionerNo
5207RG0300XInternal MedicineGeriatric 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1351860MEDICARE ID-TYPE UNSPECIFIEDINDIANA
2200180960BMEDICAIDINDIANA
3CG1119MEDICARE PININDIANA
4CG1119OTHERINDIANARR MCARE GROUP #

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: 4/28/2024

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