DEACONESS CLINIC - GIBSON HOSPITAL STE 2209 – NPI #1982216495
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 - GIBSON HOSPITAL STE 2209 is a provider located in PRINCETON, IN. NPPES has assigned the NPI number 1982216495 to DEACONESS CLINIC - GIBSON HOSPITAL STE 2209 on August 18, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DEACONESS CLINIC - GIBSON HOSPITAL STE 2209” 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.

The NPI profile was previously updated about 6 years ago on Aug 20, 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 - GIBSON HOSPITAL STE 2209 below.

NPI Profile for
DEACONESS CLINIC, INC

NPI Number
1982216495
Enumeration Date

(about 6 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 - GIBSON HOSPITAL STE 2209
Primary location
1808 SHERMAN DR
PRINCETON, IN 47670-1043
Phone: (812) 385-9420 Fax: (812) 385-9426
Mailing address
PO BOX 1510
EVANSVILLE, IN 47706-1510
Phone: (812) 385-9240 Fax: (812) 385-9426
Organization Subpart
No
Authorized Official
CHERYL WATHEN
CFO
Phone: (812) 450-3296
Updated
Certification Date
Aug 20, 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.

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)
363LF0000X
- Nurse Practitioner / Family
363L00000X
- Nurse Practitioner

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.