Deaconess Clinc Inc

LBN: Deaconess Clinc Inc
Deaconess Clinc Inc is an health care organization with primary practice located at 3329 W Deyoung St , Marion IL 62959-5884. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty. Deaconess Clinc Inc can be contacted via phone (812) 450-6966, or through Wathen, Cheryl Annette via phone (812) 450-3296.

Contact Information

Primary practice address
3329 W Deyoung St Marion IL 62959-5884
Phone: (812) 450-6966
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wathen, Cheryl Annette
Phone: (812) 450-3296

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1295591634
LBN Legal business name Deaconess Clinc Inc
DBA Doing business as
Authorized official Wathen, Cheryl Annette
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2024
Last updated Feb 23rd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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