| Deaconess Gibson Ft Branch | |
|
7851 S Professional Dr Fort Branch IN 47648 | |
| (812) 615-5071 | |
| (812) 615-5040 |
| Full Name | Deaconess Gibson Ft Branch |
|---|---|
| Speciality | Family Medicine |
| Location | 7851 S Professional Dr, Fort Branch, Indiana |
| Authorized Official Name and Position | Lois Morgan (VP, CNO) |
| Authorized Official Contact | 8123859237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Gibson Ft Branch Po Box 1197 Evansville IN 47706-1197 Ph: (812) 615-5071 | Deaconess Gibson Ft Branch 7851 S Professional Dr Fort Branch IN 47648 Ph: (812) 615-5071 |
| NPI Number | 1184024242 |
|---|---|
| Provider Enumeration Date | 08/26/2014 |
| Last Update Date | 11/11/2020 |
| Medicare PECOS PAC ID | 5991788069 |
|---|---|
| Medicare Enrollment ID | O20170315000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184024242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Deaconess Clinic I Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 802 E Oak St, Fort Branch, IN 47648 Phone: 812-753-3942 Fax: 812-768-6283 | |
Deaconess Medical Group - Ft Branch Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 E Oak St, Fort Branch, IN 47648 Phone: 812-753-3942 Fax: 812-768-6283 | |
Deaconess Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7898 S Professional Dr, Fort Branch, IN 47648 Phone: 812-615-5019 Fax: 812-615-5041 | |
South Gibson Medical Clinic Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7861 S Professional Dr, Fort Branch, IN 47648 Phone: 812-753-4181 Fax: 812-753-4399 |