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DEACONESS CLINIC INC NPI 1528214400


NPI Information

NPI: 1528214400
Provider Name: DEACONESS CLINIC, INC

Doing Business As: DEACONESS CLINIC I

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 15D0682961

Address:
685 VAIL STREET
PRINCETON, IN
ZIP 47670
Phone: (812) 386-6560
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DEACONESS CLINIC, INC is a rural health clinic center in Princeton, IN. DEACONESS CLINIC, INC NPI is 1528214400. 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:

685 VAIL STREET
PRINCETON, IN
ZIP 47670-510
Phone: (812) 386-6560
Fax: (812) 385-5015

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 15D0682961 - 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2207K00000XAllergy & ImmunologyNo
3207Q00000XFamily MedicineNo
4207R00000XInternal MedicineNo
5207RP1001XInternal MedicinePulmonary DiseaseNo
6208000000XPediatricsNo
7363L00000XNurse PractitionerNo
8261QR1300XClinic/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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.