DEACONESS CLINIC, INC. (NPI# 1114487642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114487642 |
| Entity Type | Organization |
| Organization Name | DEACONESS CLINIC, INC. |
| Practice Address |
4949 Healthy Way Evansville IN 47715-1180 |
| Mailing Address |
Po Box 1510 Evansville IN 47706-1510 |
| Practice Telephone | 8124506879 |
| Mailing Telephone | 8124506879 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |
| Authorized Official Name | CHERYL ANNETTE WATHEN (CFO) |
| Authorized Official Telephone | 8124503296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306492160 | Deaconess Clinic, Inc. | Clinic/Center | 315 N 1st Ave, Evansville, IN 47710-1218 | 2019-08-16 |
| 1437639119 | Deaconess Clinic, Inc. | Nurse Practitioner | 2100 N Fulton Ave, Evansville, IN 47710-2842 | 2018-08-21 |
| 1649750514 | Deaconess Clinic, Inc. | Nurse Practitioner | 2000 Lodge Ave, Evansville, IN 47714-4261 | 2018-08-20 |
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1528557840 | Deaconess Clinic, Inc. | Family Medicine | 2007 W Franklin St Ste B, Evansville, IN 47712 | 2018-05-02 |
| 1285039420 | Deaconess Clinic, Inc. | Physician Assistant | 1414 W Broadway St, Princeton, IN 47670-1142 | 2014-10-30 |
| 1003211244 | Deaconess Clinic, Inc. | Audiologist | 350 W Columbia St Ste 200, Evansville, IN 47710-1782 | 2014-10-30 |
| 1457952996 | Deaconess Clinic, Inc. | Clinic/Center | 3434 W State Road 66, Rockport, IN 47635-9259 | 2020-11-02 |
| 1740899236 | Deaconess Clinic, Inc. | Nurse Practitioner | 4144 Wyntree Dr, Newburgh, IN 47630-2521 | 2020-07-30 |
| 1023644838 | Deaconess Clinic, Inc. | Nurse Practitioner | 1000 S Green River Rd, Evansville, IN 47715-6802 | 2020-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEACONESS CLINIC, INC. | 421 Chestnut St, Evansville, IN 47713-1227 |
| Street Address |
4949 HEALTHY WAY |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245714500 | Procare Healthspot, LLC | Clinic/Center | 4949 Healthy Way, Evansville, IN 47715-1180 | 2018-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437707601 | Nuyou Therapies, LLC | Clinic/Center | 5401 Vogel Rd Ste 740, Evansville, IN 47715-7834 | 2019-08-29 |
| 1306492160 | Deaconess Clinic, Inc. | Clinic/Center | 315 N 1st Ave, Evansville, IN 47710-1218 | 2019-08-16 |
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1841704343 | Workplace Health Services | Clinic/Center | 1016 E Columbia St, Evansville, IN 47711-5270 | 2017-11-21 |
| 1881094290 | Quad Med LLC | Clinic/Center | 1 Nw Mlk Jr Blvd, Rm 106, Evansville, IN 47708 | 2014-09-04 |
| 1841538915 | 21st Century Healthcare, LLC | Clinic/Center | 445 N Cross Pointe Blvd Ste 140, Evansville, IN 47715-4011 | 2013-01-24 |
| 1285978809 | Dr. Karl L. Lamb, LLC | Clinic/Center | 401 N Weinbach Ave, Suite D, Evansville, IN 47711-6011 | 2012-11-20 |
| 1194878587 | Evansville Treatment Center, LLC | Clinic/Center | 1510 W Franklin St, Evansville, IN 47710-1032 | 2007-01-19 |
| 1275098832 | Wright Chiropractic, LLC | Clinic/Center | 2305 W Franklin St, Evansville, IN 47712-5118 | 2019-02-07 |
| 1376083642 | Workplace Health Services, LLC | Clinic/Center | 601 N Boeke Rd, Door 23, Evansville, IN 47711-5925 | 2017-03-06 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47715 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.