Deaconess Family Medicine Residency

LBN: Deaconess Hospital, Inc.
Deaconess Family Medicine Residency is an health care organization with primary practice located at 415 W Columbia St Ste 110 , Evansville IN 47710-1656. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Deaconess Hospital, Inc. can be contacted via phone (812) 450-3363, or through Wathen, Cheryl A via phone (812) 450-3296.

Contact Information

Primary practice address
415 W Columbia St Ste 110 Evansville IN 47710-1656
Phone: (812) 450-3363
Fax: (812) 450-3071
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 / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1629097639
LBN Legal business name Deaconess Hospital, Inc.
DBA Doing business as Deaconess Family Medicine Residency
Authorized official Wathen, Cheryl A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 21st, 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 1629097639 NPPES
Indiana MEDICAID 100241900

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