| NPI | 1447862958 |
|---|---|
| Doing Business As | DEACONESS CLINIC - GIBSON HOSPITAL SUITE 2204 |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-12-07 |