Deaconess Clinic, INC

NPI #1639502859 in Boonville, Indiana

Provider Information

NPI Number: 1639502859
Entity Type: Organization
Organization Name: Deaconess Clinic, INC
Primary Specialty: Family Medicine
Enumeration Date: Aug 12, 2013
Last Updated: Oct 27, 2020

Practice Location

Address: 3150 WARRICK DR
City: Boonville
State: Indiana
ZIP Code: 47601-8602
Phone: (812) 858-3355

Authorized Official

Name: CHERYL A WATHEN
Title: CFO
Phone: (812) 450-3296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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