DEACONESS CLINIC I – NPI #1306092689
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 1306092689 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. 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 6 years ago on Sep 16, 2020. 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
1306092689
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
4015 GATEWAY BLVD
NEWBURGH, IN 47630-8925
Phone: (812) 858-9400 Fax: (812) 858-9571
Mailing address
PO BOX 1510
EVANSVILLE, IN 47706-1510
Phone: (812) 858-9400 Fax: (812) 858-9571
Organization Subpart
No
Authorized Official
CHERYL WATHEN
CFO
Phone: (812) 450-3296
Updated
Certification Date
Sep 16, 2020

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.

Identifiers

Identifiers for DEACONESS CLINIC I

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN200910700A
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.

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.