Deaconess Medical Group - Pediatrics

LBN: Deaconess Hospital, Inc
Deaconess Medical Group - Pediatrics is an health care organization with primary practice located at 4111 Gateway Blvd , Newburgh IN 47630-8954. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Deaconess Hospital, Inc can be contacted via phone (812) 853-5300, or through Stivers, Richard M via phone (812) 450-3296.

Contact Information

Primary practice address
4111 Gateway Blvd Newburgh IN 47630-8954
Phone: (812) 853-5300
Fax: (812) 858-4656
Website:
Map and Directions
Authorized official contact:
Name: Stivers, Richard M
Phone: (812) 450-3296

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1205864287
LBN Legal business name Deaconess Hospital, Inc
DBA Doing business as Deaconess Medical Group - Pediatrics
Authorized official Stivers, Richard M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2006
Last updated Dec 20th, 2007 - about 17 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 1205864287 NPPES
Indiana Other CG1119 RR MCARE GROUP #

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