DEACONESS HOSPITAL INC NPI 1578727475

NPI Information

  • NPI: 1578727475
  • Provider Name: DEACONESS HOSPITAL, INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: DEACONESS FAMILY MEDICINE
  • Address: 415 W COLUMBIA ST
    STE 100
    EVANSVILLE, IN
    ZIP 47710
  • Phone: (812) 450-6200

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NPI Details

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 1578727475. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Deaconess Family Medicine.

The provider's business location address is:

415 W COLUMBIA ST
STE 100
EVANSVILLE, IN
ZIP 47710-656
Phone: (812) 450-6200
Fax: (812) 450-6202

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 7/10/2008 and was last updated on 8/21/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNo
2207V00000XObstetrics & GynecologyNo
3363L00000XNurse PractitionerNo
4363LF0000XNurse PractitionerFamilyNo
5207Q00000XFamily 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100241900MEDICAIDINDIANA
2849950MEDICARE 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: 11/21/2025

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