| Deaconess Primary Care For Seniors - Gateway | |
|
4107 Gateway Blvd Newburgh IN 47630-8954 | |
| (812) 858-3280 | |
| (812) 858-3290 |
| Full Name | Deaconess Primary Care For Seniors - Gateway |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 4107 Gateway Blvd, Newburgh, Indiana |
| Authorized Official Name and Position | Linda E White (PRESIDENT & CEO) |
| Authorized Official Contact | 8124502250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Primary Care For Seniors - Gateway Po Box 3407 Evansville IN 47733-3407 Ph: (812) 450-6800 | Deaconess Primary Care For Seniors - Gateway 4107 Gateway Blvd Newburgh IN 47630-8954 Ph: (812) 858-3280 |
| NPI Number | 1962665588 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 08/31/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962665588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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