| Deaconess Clinic, Inc | |
|
4209 Gateway Blvd Newburgh IN 47630-8900 | |
| (812) 853-5300 | |
| (812) 858-4660 |
| Full Name | Deaconess Clinic, Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 4209 Gateway Blvd, Newburgh, Indiana |
| Authorized Official Name and Position | Cheryl A Wathen (CFO) |
| Authorized Official Contact | 8124503296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Clinic, Inc Po Box 1510 Evansville IN 47706-1510 Ph: (812) 853-5300 | Deaconess Clinic, Inc 4209 Gateway Blvd Newburgh IN 47630-8900 Ph: (812) 853-5300 |
| NPI Number | 1376799213 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Medicare PECOS PAC ID | 3375610116 |
|---|---|
| Medicare Enrollment ID | O20200626001306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376799213 | NPI | - | NPPES |
| 200910700F | Medicaid | IN |
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