| Deaconess Clinic I | |
|
340 Starlite Dr Henderson KY 42420-6102 | |
| (270) 844-8027 | |
| (270) 844-8183 |
| Full Name | Deaconess Clinic I |
|---|---|
| Speciality | Internal Medicine |
| Location | 340 Starlite Dr, Henderson, Kentucky |
| 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 Clinic I Po Box 1510 Evansville IN 47706-1510 Ph: (270) 844-8027 | Deaconess Clinic I 340 Starlite Dr Henderson KY 42420-6102 Ph: (270) 844-8027 |
| NPI Number | 1154607398 |
|---|---|
| Provider Enumeration Date | 11/02/2011 |
| Last Update Date | 08/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154607398 | NPI | - | NPPES |
| 200910700P | Medicaid | IN | |
| 7100051620 | Medicaid | KY |
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