DEACONESS CLINIC I – NPI #1114173499
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

DEACONESS CLINIC I is a provider located in EVANSVILLE, IN. NPPES has assigned the NPI number 1114173499 to DEACONESS CLINIC I on August 18, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DEACONESS CLINIC I” is a dba name, the actual legal business name for this organization is DEACONESS CLINIC, INC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Nov 04, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEACONESS CLINIC I below.

NPI Profile for
DEACONESS CLINIC, INC

NPI Number
1114173499
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEACONESS CLINIC, INC
Doing Business As (dba): DEACONESS CLINIC I
Primary location
350 W COLUMBIA ST
STE 440
EVANSVILLE, IN 47710-1782
Phone: (812) 425-2461 Fax: (812) 424-7254
Mailing address
PO BOX 1510
EVANSVILLE, IN 47706-1510
Phone: (812) 450-6815 Fax: (812) 450-6822
Organization Subpart
No
Authorized Official
RICHARD STIVERS
CFO
Phone: (812) 450-3296
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.