Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deaconess Clinic, Inc

Organization Family Medicine Physician · NPI 1639502859

Deaconess Clinic, Inc is a Family Medicine Physician in Boonville, Indiana. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3150 Warrick Dr
Boonville, IN 47601-8602
Phone: (812) 858-3355
Fax: (812) 858-3350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1639502859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Wathen — Cfo · (812) 450-3296
Other names Deaconess Clinic I; Deaconess Clinic I
NPI enumeratedAugust 12, 2013
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing addressPo Box 1510, Evansville, IN 47706-1510

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