DEACONESS CLINIC I – NPI #1114284577
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 NEWBURGH, IN. NPPES has assigned the NPI number 1114284577 to DEACONESS CLINIC I on April 23, 2012. 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. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Jan 14, 2022. 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
1114284577
Enumeration Date

(more than 14 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
4011 GATEWAY BLVD STE 100
NEWBURGH, IN 47630-8947
Phone: (812) 858-2100 Fax: (812) 858-2120
Mailing address
PO BOX 1510
EVANSVILLE, IN 47706-1510
Phone: (812) 858-2100 Fax: (812) 858-2120
Organization Subpart
No
Authorized Official
CHERYL WATHEN
CFO
Phone: (812) 450-3296
Updated
Certification Date
Jan 14, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant
208000000X
- Pediatrics
207R00000X
- Internal Medicine

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.