Deaconess Riley Children'S Specialty Clinic

LBN: Deaconess Hospital, Inc
Deaconess Riley Children'S Specialty Clinic is an health care organization with primary practice located at 4133 Gateway Blvd Ste 220, Newburgh IN 47630-7953. The organization recently has 12 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Endocrinology, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Pediatric Rheumatology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Deaconess Hospital, Inc can be contacted via phone (812) 858-3131, or through Wathen, Cheryl A via phone (812) 450-3296.

Contact Information

Primary practice address
4133 Gateway Blvd Ste 220 Newburgh IN 47630-7953
Phone: (812) 858-3131
Fax: (812) 858-3140
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 / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1407800998
LBN Legal business name Deaconess Hospital, Inc
DBA Doing business as Deaconess Riley Children'S Specialty Clinic
Authorized official Wathen, Cheryl A
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Jul 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407800998 NPPES
Indiana MEDICAID 200296920B

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