DEACONESS HOSPITAL INC NPI 1710098405

NPI Information

  • NPI: 1710098405
  • Provider Name: DEACONESS HOSPITAL, INC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: DEACONESS MEDICAL GROUP - PETERSBURG
  • Address: 106 W PIKE AVE
    PETERSBURG, IN
    ZIP 47567
  • Phone: (812) 354-1052

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NPI Details

DEACONESS HOSPITAL, INC is a rural health clinic center in Petersburg, IN. DEACONESS HOSPITAL, INC NPI is 1710098405. The provider is registered as an organization entity type.
The provider Is Doing Business As Deaconess Medical Group - Petersburg.

The provider's business location address is:

106 W PIKE AVE
PETERSBURG, IN
ZIP 47567-750
Phone: (812) 354-1052
Fax: (812) 354-8280

The provider's authorized official is Richard M Stivers .
The authorized official title is Sr Vice President, Cfo and has the following contact phone number (812) 450-3296.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 1/2/2008.

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
1261QR1300XClinic/CenterRural HealthYes

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
1CG1119MEDICARE PININDIANA
2CG1119OTHERINDIANARR MCARE GROUP #
3153843OTHERINDIANARURAL HEALTH #
4640440MEDICARE ID-TYPE UNSPECIFIEDINDIANAMCARE GROUP #
5153843MEDICARE PININDIANA
6153843MEDICARE OSCAR/CERTIFICATIONINDIANA

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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