Deaconess Pain Clinic

LBN: Deaconess Hospital, Inc
Deaconess Pain Clinic is an health care organization with primary practice located at 4600 W Lloyd Expy , Evansville IN 47712-6517. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Deaconess Hospital, Inc can be contacted via phone (812) 450-7246, or through Wathen, Cheryl A via phone (812) 450-3296.

Contact Information

Primary practice address
4600 W Lloyd Expy Evansville IN 47712-6517
Phone: (812) 450-7246
Fax: (812) 450-4855
Website:
Map and Directions
Authorized official contact:
Name: Wathen, Cheryl A
Phone: (812) 450-3296

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1013222322
LBN Legal business name Deaconess Hospital, Inc
DBA Doing business as Deaconess Pain Clinic
Authorized official Wathen, Cheryl A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2010
Last updated Jul 28th, 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 1013222322 NPPES
Indiana MEDICAID 200226410H

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