| Deaconess Clinic, Inc | |
|
802 E Oak St Fort Branch IN 47648-1666 | |
| (812) 753-3942 | |
| (812) 768-6283 |
| Full Name | Deaconess Clinic, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 802 E Oak St, Fort Branch, 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) 753-3942 | Deaconess Clinic, Inc 802 E Oak St Fort Branch IN 47648-1666 Ph: (812) 753-3942 |
| NPI Number | 1285880179 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 12/07/2023 |
| Medicare PECOS PAC ID | 3375610116 |
|---|---|
| Medicare Enrollment ID | O20221013001591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285880179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Deaconess Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 E Oak St, Fort Branch, IN 47648 Phone: 812-753-3942 Fax: 812-768-6283 | |
Deaconess Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7898 S Professional Dr, Fort Branch, IN 47648 Phone: 812-615-5019 Fax: 812-615-5041 | |
South Gibson Medical Clinic Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7861 S Professional Dr, Fort Branch, IN 47648 Phone: 812-753-4181 Fax: 812-753-4399 |