DEACONESS CLINIC (NPI# 1912366501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912366501 |
| Entity Type | Organization |
| Organization Name | DEACONESS CLINIC |
| Other Organization Name | DEACONESS CLINIC COMP CENTER HENDERSON |
| Practice Address |
340 Starlite Dr Henderson KY 42420-6102 |
| Mailing Address |
329 W Columbia St Evansville IN 47710-1757 |
| Practice Telephone | 2708448515 |
| Practice Fax Number | 2708448183 |
| Mailing Telephone | 8124502958 |
| Mailing Fax Number | 8124502965 |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |
| Authorized Official Name | LINDA E WHITE (PRESIDENT & CEO) |
| Authorized Official Telephone | 8124502250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Deaconess Clinic Comp Center Henderson | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEACONESS CLINIC, INC. | 421 Chestnut St, Evansville, IN 47713-1227 |
| Street Address |
340 STARLITE DR |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-6102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376584219 | Maria C Aljabi | Pediatrics | 340 Starlite Dr, Henderson, KY 42420-6102 | 2006-06-10 |
| 1780290312 | Deaconess Hospital, Inc. | Nurse Practitioner | 340 Starlite Dr, Henderson, KY 42420-6102 | 2020-09-18 |
| 1942845854 | Deaconess Clinic Inc | Family Medicine | 340 Starlite Dr, Henderson, KY 42420-6102 | 2019-11-14 |
| 1912551870 | Sarah J Faxon | Nurse Practitioner | 340 Starlite Dr, Henderson, KY 42420-6102 | 2019-07-30 |
| 1508261041 | Deaconess Clinic, Inc. | Internal Medicine | 340 Starlite Dr, Henderson, KY 42420-6102 | 2014-10-27 |
| 1154607398 | Deaconess Clinic, Inc | Family Medicine | 340 Starlite Dr, Henderson, KY 42420-6102 | 2011-11-02 |
| 1841570108 | Orthopaedic Associates Inc | Nurse Practitioner | 340 Starlite Dr, Henderson, KY 42420 | 2011-08-18 |
| 1235379215 | Gerri L Moore | Family Medicine | 340 Starlite Dr, Henderson, KY 42420-6102 | 2009-03-03 |
| 1518185487 | Karen R Canlas | Internal Medicine | 340 Starlite Dr, Henderson, KY 42420-6102 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736935 | American Current Care Pa | Clinic/Center | 6460 Dutchmans Pkwy Ste 102, Louisville, KY 40205-3338 | 2020-10-06 |
| 1891332458 | Concentra Health Services, Inc. | Clinic/Center | 6127 Airport Hotels Blvd, Louisville, KY 40213-3288 | 2019-12-03 |
| 1316589229 | American Current Care, P.a. | Clinic/Center | 6121 Airport Hotels Blvd, Louisville, KY 40213-3288 | 2019-10-11 |
| 1700386919 | Community First Injury Care, Inc | Clinic/Center | 13806 Lake Point Cir Ste 101, Louisville, KY 40223-4223 | 2018-02-14 |
| 1518477884 | Physicians Medical Center LLC | Clinic/Center | 4149 Shelbyville Rd, Louisville, KY 40207-3203 | 2017-10-02 |
| 1033484282 | Occupational Health Professionals, Inc | Clinic/Center | 5796 Nashville Td, Ste A, Bowling Green, KY 42101 | 2012-03-20 |
| 1528345675 | Usimc of West Virginia Medical Corporation | Clinic/Center | 25 Atlantic Ave, Erlanger, KY 41018-3151 | 2011-11-03 |
| 1063675759 | St Elizabeth Medical Center Inc | Clinic/Center | 4123 Olympic Blvd., Suite 150, Erlanger, KY 41018 | 2008-07-03 |
| 1336341957 | Frankfort Hospital, Inc. | Clinic/Center | 101 Medical Heights Drive, Suite N, Frankfort, KY 40601-4137 | 2007-06-05 |
| 1821212002 | Methodist Health, Inc. | Clinic/Center | 4604 Us Hwy 60 West, Morganfield, KY 42437 | 2007-04-12 |
| Find all providers with the same taxonomy | ||||
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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.