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NPI Code Detail

MEDICARE: DEACONESS HOSPITAL, INC.

MEDICARE: DEACONESS HOSPITAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0207XMobile Mammography Clinic/Center
2273R00000XPsychiatric Hospital Unit
3282N00000XGeneral Acute Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053361642
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEACONESS HOSPITAL, INC.
Provider Business Mailing Address
First Line : 600 MARY ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47710-1658
Country : US
Telephone Number : 812-450-5000
Fax Number : 812-450-2155
Provider Business Practice Location Address
First Line : 600 MARY ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47710-1658
Country : US
Telephone Number : 812-450-5000
Fax Number : 812-450-2155
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : SHAWN MCCOY
Credential :
Telephone Number : 812-450-2252
Provider Enumeration Date : 05/12/2006
Last Update Date : 07/09/2025

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Directions to “DEACONESS HOSPITAL, INC. ” Practice Location

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