| NPI | 1417905688 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-05-04 |
| Last Updated | 2016-01-20 |
| Authorized Official | Linda White President & CEO Phone: 8124502250 |
| Mailing Address | 329 W Columbia St Evansville, IN 47710-1757 United States Phone: (812) 450-7455 | Fax: (812) 450-2960 📍 View Map |
| Primary Practice Address | 4506 1st Ave Evansville, IN 47710-3624 United States Phone: (812) 428-6161 | Fax: (812) 421-2883 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | IN | 200191200A | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207R00000X – Internal Medicine | - | - |
| No | 207Q00000X – Family Medicine | - | - |
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| Yes | 261QX0100X – Clinic/Center, Occupational Medicine | - | - |
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About NPI 1417905688
Deaconess Clinic, Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1417905688. The primary specialty listed is Clinic/Center, Occupational Medicine. The organization is located in Evansville, IN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1417905688?
NPI 1417905688 belongs to Deaconess Clinic, Inc, a Clinic/Center, Occupational Medicine in Evansville, IN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1417905688 active?
The current status of NPI 1417905688 in the NPPES registry is Active. The record was last updated on 2016-01-20.
What specialty is NPI 1417905688?
NPI 1417905688 is classified under the taxonomy Clinic/Center, Occupational Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1417905688?
You can verify NPI 1417905688 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1417905688?
The primary practice address on file for NPI 1417905688 is 4506 1st Ave, Evansville, IN 47710-3624. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1417905688 issued?
NPI 1417905688 was first issued (enumerated) on 2006-05-04. The NPPES record was last updated on 2016-01-20.
Practice Location Map
Deaconess Clinic, Inc is located at 4506 1st Ave, Evansville, IN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Deaconess Clinic, Inc. All records sourced from the CMS NPPES registry.