| Deaconess Clinic, Inc. | |
|
26020 State Road 145 Bristow IN 47515-8865 | |
| (812) 357-2099 | |
| (812) 357-2097 |
| Full Name | Deaconess Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 26020 State Road 145, Bristow, Indiana |
| Authorized Official Name and Position | Cheryl Annette Wathen (CFO) |
| Authorized Official Contact | 8124503296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Clinic, Inc. Po Box 631767 Cincinnati OH 45263-2767 Ph: (812) 450-6815 | Deaconess Clinic, Inc. 26020 State Road 145 Bristow IN 47515-8865 Ph: (812) 357-2099 |
| NPI Number | 1427945906 |
|---|---|
| Provider Enumeration Date | 06/18/2025 |
| Last Update Date | 06/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427945906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Deaconess Memorial Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26020 State Road 145, Bristow, IN 47515 Phone: 812-357-2099 |