MEDICARE: DEACONESS CLINIC, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363L00000X	Nurse Practitioner
2	363LF0000X	Family Nurse Practitioner
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1346869252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEACONESS CLINIC, INC

Provider Business Mailing Address
First Line	:	PO BOX 1510
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47706-1510
Country	:	US
Telephone Number	:	812-450-6815
Fax Number	:	812-450-6822

Provider Business Practice Location Address
First Line	:	411 LETCHER ST
Second Line	:
City	:	HENDERSON
State	:	KY
Zip	:	42420-4245
Country	:	US
Telephone Number	:	270-831-7950
Fax Number	:	270-831-7824

Authorized Official
Title or Position	:	CFO
Name	:	CHERYL ANNETTE WATHEN
Credential	:
Telephone Number	:	812-450-3296

Provider Enumeration Date	:	04/10/2020
Last Update Date	:	04/10/2020

Similar Medicare Providers

1366445462 — EDWARD ANDERSON DPM
Practice Location Address:

411 LETCHER ST
HENDERSON, KY
42420-4245

Practice Phone: 270-830-6522
Practice Fax:

1750407474 — TRI-STATE PODIATRIC MEDICAL SERVICES PSC
Practice Location Address:

411 LETCHER ST
HENDERSON, KY
42420-4245

Practice Phone: 270-830-6522
Practice Fax:

1346494671 — METHODIST HEALTH, INC.
Practice Location Address:

411 LETCHER ST
HENDERSON, KY
42420-4245

Practice Phone: 270-831-7950
Practice Fax: 270-831-7824

1699335968 — MR. LOGAN SCOTT VANSICKLE APRN
Practice Location Address:

411 LETCHER ST
HENDERSON, KY
42420-4245

Practice Phone: 270-831-7950
Practice Fax:

1003612946 — DEACONESS SPECIALTY PHYSICIANS INC
Practice Location Address:

736 N ELM ST
HENDERSON, KY
42420-2938

Practice Phone: 270-827-7199
Practice Fax: 270-827-7376

1457298762 — STINSON CHIROPRACTIC LLC
Practice Location Address:

110 3RD ST STE 110
HENDERSON, KY
42420-5802

Practice Phone: 270-770-5520
Practice Fax:

Directions to “DEACONESS CLINIC, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.