Deaconess Comp Center Gateway

LBN: Deaconess Clinic, Inc
Deaconess Comp Center Gateway is an health care organization with primary practice located at 4011 Gateway Blvd Ste 100 , Newburgh IN 47630-8947. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Occupational Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Occupational Medicine is the primary health care specialty. Deaconess Clinic, Inc can be contacted via phone (812) 858-2100, or through White, Linda E via phone (812) 450-2250.

Contact Information

Primary practice address
4011 Gateway Blvd Ste 100 Newburgh IN 47630-8947
Phone: (812) 858-2100
Fax: (812) 858-2120
Website:
Map and Directions
Authorized official contact:
Name: White, Linda E
Phone: (812) 450-2250

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1407804602
LBN Legal business name Deaconess Clinic, Inc
DBA Doing business as Deaconess Comp Center Gateway
Authorized official White, Linda E
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Jan 14th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407804602 NPPES
Indiana MEDICAID 200191200B

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