Deaconess Clinic I
LBN: Deaconess Clinic, Inc
Deaconess Clinic I is an health care organization with primary practice located at 340 Starlite Dr , Henderson KY 42420-6102. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Deaconess Clinic, Inc can be contacted via phone (270) 844-8027, or through Wathen, Cheryl A via phone (812) 450-3296.
Contact Information
Primary practice address
340 Starlite Dr
Henderson KY 42420-6102
Phone: (270) 844-8027
Fax: (270) 844-8183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ||
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1154607398 |
|---|---|
| LBN Legal business name | Deaconess Clinic, Inc |
| DBA Doing business as | Deaconess Clinic I |
| Authorized official | Wathen, Cheryl A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2011 |
| Last updated | Aug 10th, 2017 - about 7 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154607398 | NPPES |
| Indiana | MEDICAID | 200910700P | |
| Indiana | MEDICAID | 7100051620 |
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Deaconess Clinic, Inc.
340 Starlite Dr , Henderson KY 42420-6102