| Deaconess Hospital, Inc. | |
|
4015 Gateway Blvd Newburgh IN 47630-8925 | |
| (812) 450-3201 | |
| (812) 450-3395 |
| Full Name | Deaconess Hospital, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4015 Gateway Blvd, Newburgh, 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 Hospital, Inc. Po Box 1230 Evansville IN 47706-1230 Ph: (812) 450-3201 | Deaconess Hospital, Inc. 4015 Gateway Blvd Newburgh IN 47630-8925 Ph: (812) 450-3201 |
| NPI Number | 1689289233 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 09/10/2020 |
| Certification Date | 09/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689289233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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