Deaconess Medical Group - Specialty

LBN: Deaconess Hospital, Inc
Deaconess Medical Group - Specialty is an health care organization with primary practice located at 519 Harriet St , Evansville IN 47710-1715. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is the primary health care specialty. Deaconess Hospital, Inc can be contacted via phone (812) 423-9699, or through Stivers, Richard M via phone (812) 450-3296.

Contact Information

Primary practice address
519 Harriet St Evansville IN 47710-1715
Phone: (812) 423-9699
Fax: (812) 434-2025
Website:
Map and Directions
Authorized official contact:
Name: Stivers, Richard M
Phone: (812) 450-3296

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X

Profile Details

NPI number 1952325409
LBN Legal business name Deaconess Hospital, Inc
DBA Doing business as Deaconess Medical Group - Specialty
Authorized official Stivers, Richard M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Oct 19th, 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 1952325409 NPPES
Indiana Other CG1119 RR MCARE GROUP #
Indiana MEDICAID 65931586 RR MCARE GROUP #

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