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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
1101Y00000XCounselor

General Provider Information

NPI Number : 1902985096
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEACONESS HOSPITAL, INC
Provider Business Mailing Address
First Line : PO BOX 1230
Second Line :
City : EVANSVILLE
State : IN
Zip : 47706-1230
Country : US
Telephone Number : 812-450-6815
Fax Number : 812-450-6822
Provider Business Practice Location Address
First Line : 209 N ELM ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-3132
Country : US
Telephone Number : 270-686-8984
Fax Number : 270-689-0054
Authorized Official
Title or Position : PRESIDENT/CEO
Name : LINDA E WHITE
Credential :
Telephone Number : 812-450-5000
Provider Enumeration Date : 11/02/2006
Last Update Date : 12/22/2010

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