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DEACONESS HOSPITAL INC NPI 1821038316


NPI Information

NPI: 1821038316
Provider Name: DEACONESS HOSPITAL, INC

Doing Business As: DEACONESS MEDICAL GROUP - WEST

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4600 W LLOYD EXPY
EVANSVILLE, IN
ZIP 47712
Phone: (812) 450-6311
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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 1821038316. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Deaconess Medical Group - West.

The provider's business location address is:

4600 W LLOYD EXPY
EVANSVILLE, IN
ZIP 47712-517
Phone: (812) 450-6311
Fax: (812) 450-6317

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 6/7/2006 and was last updated on 10/19/2007.


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
1182720MEDICARE ID-TYPE UNSPECIFIEDINDIANA
2CG1119MEDICARE PININDIANA
3CG1119OTHERINDIANARR 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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