Healthcare Provider Details

I. General information

NPI: 1073427779
Provider Name (Legal Business Name): DEACONESS HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7851 S PROFESSIONAL DR
FORT BRANCH IN
47648-8405
US

IV. Provider business mailing address

PO BOX 632281
CINCINNATI OH
45263-2281
US

V. Phone/Fax

Practice location:
  • Phone: 812-471-4611
  • Fax: 812-471-4643
Mailing address:
  • Phone: 812-450-6815
  • Fax: 812-450-6822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTIE ANN HORNBY
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 812-450-7143