| NPI | 1962665588 |
|---|---|
| Doing Business As | DEACONESS PRIMARY CARE FOR SENIORS - GATEWAY |
| Entity Type | Organization |
| Authorized Contact | LINDA E WHITE President & CEO 812-450-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2010-08-31 |