Deaconess Medical Group - Petersburg

LBN: Deaconess Hospital, Inc
Deaconess Medical Group - Petersburg is an health care organization with primary practice located at 106 W Pike Ave , Petersburg IN 47567-8750. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Deaconess Hospital, Inc can be contacted via phone (812) 354-1052, or through Stivers, Richard M via phone (812) 450-3296.

Contact Information

Primary practice address
106 W Pike Ave Petersburg IN 47567-8750
Phone: (812) 354-1052
Fax: (812) 354-8280
Website:
Map and Directions
Authorized official contact:
Name: Stivers, Richard M
Phone: (812) 450-3296

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1710098405
LBN Legal business name Deaconess Hospital, Inc
DBA Doing business as Deaconess Medical Group - Petersburg
Authorized official Stivers, Richard M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 2nd, 2008 - 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 1710098405 NPPES
Indiana Other 153843 RURAL HEALTH #
Indiana Other CG1119 RURAL HEALTH #

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