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DEACONESS CLINIC INC NPI 1952920852


NPI Information

NPI: 1952920852
Provider Name: DEACONESS CLINIC, INC

Doing Business As: DEACONESS CLINIC ATKINSON

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 18D0716501

Address:
1413 N ELM ST STE 201
HENDERSON, KY
ZIP 42420
Phone: (270) 827-8662
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DEACONESS CLINIC, INC is a family medicine in Henderson, KY. 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 CLINIC, INC NPI is 1952920852. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Deaconess Clinic Atkinson.

The provider's business location address is:

1413 N ELM ST STE 201
HENDERSON, KY
ZIP 42420-767
Phone: (270) 827-8662
Fax: (270) 826-8220

The provider's authorized official is Cheryl Annette 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 18D0716501 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2020 and was last updated on 12/16/2020.


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
1207Q00000XFamily MedicineYes
2363A00000XPhysician AssistantNo
3363AM0700XPhysician AssistantMedicalNo
4363L00000XNurse PractitionerNo
5363LA2100XNurse PractitionerAcute CareNo
6363LF0000XNurse PractitionerFamilyNo
7363LP0200XNurse PractitionerPediatricsNo

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: 5/5/2024

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.