| Deaconess Medical Group - Petersburg | |
|
106 W Pike Ave Petersburg IN 47567-8750 | |
| (812) 354-1052 | |
| (812) 354-8280 |
| Full Name | Deaconess Medical Group - Petersburg |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 106 W Pike Ave, Petersburg, Indiana |
| Authorized Official Name and Position | Richard M Stivers (SR VICE PRESIDENT, CFO) |
| Authorized Official Contact | 8124503296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Medical Group - Petersburg Po Box 3407 Evansville IN 47733-3407 Ph: (812) 450-6815 | Deaconess Medical Group - Petersburg 106 W Pike Ave Petersburg IN 47567-8750 Ph: (812) 354-1052 |
| NPI Number | 1710098405 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 01/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710098405 | NPI | - | NPPES |
| 153843 | Other | IN | RURAL HEALTH # |
| CG1119 | Other | IN | RR MCARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Petersburg Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 E Main St, Petersburg, IN 47567 Phone: 812-354-8426 Fax: 812-354-9134 | |
Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 E Alford St, Petersburg, IN 47567 Phone: 812-494-9515 Fax: 812-494-9514 | |
Good Samaritan Hospital Physician Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 E Main St, Suite 110, Petersburg, IN 47567 Phone: 812-354-8426 Fax: 812-354-9134 | |
Petersburg Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1003 E Illinois St, Petersburg, IN 47567 Phone: 812-354-3458 Fax: 812-354-3459 | |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 E State Road 56, Petersburg, IN 47567 Phone: 810-494-9515 Fax: 812-494-9514 | |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 E Main St Ste 110, Petersburg, IN 47567 Phone: 812-354-8785 Fax: 812-354-8786 |