| Deaconess Women's Hospital Of Southern Indiana, Llc | |
|
4199 Gateway Blvd Newburgh IN 47630-8940 | |
| (812) 842-4200 | |
| (812) 842-4227 |
| Full Name | Deaconess Women's Hospital Of Southern Indiana, Llc |
|---|---|
| Speciality | Obstetrics & Gynecology - Gynecologic Oncology |
| Location | 4199 Gateway Blvd, Newburgh, Indiana |
| Authorized Official Name and Position | Christina Ryan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8128424222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Women's Hospital Of Southern Indiana, Llc 4199 Gateway Blvd Newburgh IN 47630-8940 Ph: (812) 842-4200 | Deaconess Women's Hospital Of Southern Indiana, Llc 4199 Gateway Blvd Newburgh IN 47630-8940 Ph: (812) 842-4200 |
| NPI Number | 1114297801 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 07/08/2022 |
| Certification Date | 07/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114297801 | NPI | - | NPPES |
| 200871730 | Medicaid | IN | |
| 201046630A | Medicaid | IN | |
| 201380400 | Medicaid | IN | |
| 201003930 | Medicaid | IN | |
| 201044710 | Medicaid | IN | |
| 201046630B | Medicaid | IN | |
| 200931070 | Medicaid | IN | |
| 200934360 | Medicaid | IN | |
| 200950810 | Medicaid | IN | |
| 201386290A | Medicaid | IN | |
| 100319460 | Medicaid | IN | |
| 201003570 | Medicaid | IN | |
| 201118520 | Medicaid | IN | |
| 200245730 | Medicaid | IN | |
| 200951280 | Medicaid | IN | |
| 201395600A | Medicaid | IN |
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