Deaconess Hospital, INC

NPI #1912175803 in Henderson, Kentucky

Provider Information

NPI Number: 1912175803
Entity Type: Organization
Organization Name: Deaconess Hospital, INC
Primary Specialty: Family Medicine
Enumeration Date: Feb 14, 2008
Last Updated: Feb 14, 2008

Practice Location

Address: 1413 N ELM ST
Address 2: STE 106
City: Henderson
State: Kentucky
ZIP Code: 42420-2768
Phone: (270) 827-0064

Authorized Official

Name: RICHARD M STIVERS
Title: SR VICE PRESIDENT, CFO
Phone: (812) 450-3296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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