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DEACONESS HOSPITAL INC. NPI 1457371775


NPI Information

NPI: 1457371775
Provider Name: DEACONESS HOSPITAL, INC.

Doing Business As: DEACONESS FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 15D1018741

Address:
310 W IOWA ST
EVANSVILLE, IN
ZIP 47710
Phone: (812) 450-6200
Get Directions

DEACONESS HOSPITAL, 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 HOSPITAL, INC. NPI is 1457371775. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Deaconess Family Medicine.

The provider's business location address is:

310 W IOWA ST
EVANSVILLE, IN
ZIP 47710-724
Phone: (812) 450-6200
Fax: (812) 450-6202

The provider's authorized official is Linda E White .
The authorized official title is President & Ceo and has the following contact phone number (812) 450-2250.

The CLIA number assigned to this NPI record is 15D1018741 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/20/2006 and was last updated on 11/7/2012.


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 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
1CG1119MEDICARE PININDIANA
2CD9014MEDICARE PININDIANA
3209890MEDICARE ID-TYPE UNSPECIFIED
4CA2202MEDICARE 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: 4/28/2024

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