Deaconess Pain Clinic Gateway

LBN: Deaconess Hospital, Inc
Deaconess Pain Clinic Gateway is an health care organization with primary practice located at 4015 Gateway Blvd Ste 2120 , Newburgh IN 47630-9460. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / 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) 842-2737, or through Wathen, Cheryl A via phone (812) 450-3296.

Contact Information

Primary practice address
4015 Gateway Blvd Ste 2120 Newburgh IN 47630-9460
Phone: (812) 842-2737
Fax: (812) 842-2751
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 208VP0000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1750696068
LBN Legal business name Deaconess Hospital, Inc
DBA Doing business as Deaconess Pain Clinic Gateway
Authorized official Wathen, Cheryl A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2010
Last updated Feb 13th, 2024 - about 7 months 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 1750696068 NPPES
Indiana MEDICAID 200226410G

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