| Deaconess Riley Children's Specialty Clinic | |
|
4133 Gateway Blvd Ste 220 Newburgh IN 47630-7953 | |
| (812) 858-3131 | |
| (812) 858-3140 |
| Full Name | Deaconess Riley Children's Specialty Clinic |
|---|---|
| Speciality | Pediatrics |
| Location | 4133 Gateway Blvd, Newburgh, Indiana |
| Authorized Official Name and Position | Cheryl A Wathen (CFO) |
| Authorized Official Contact | 8124503296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Riley Children's Specialty Clinic Po Box 3407 Evansville IN 47733-3407 Ph: (812) 858-3131 | Deaconess Riley Children's Specialty Clinic 4133 Gateway Blvd Ste 220 Newburgh IN 47630-7953 Ph: (812) 858-3131 |
| NPI Number | 1407800998 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 07/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407800998 | NPI | - | NPPES |
| 200296920B | Medicaid | IN |
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