NPIMap

Organization Active NPI

The Heart Hospital at Deaconess Gateway, LLC

  • Special Hospital
  • Newburgh, IN
National Provider Identifier
1124292446
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
THE HEART HOSPITAL AT DEACONESS GATEWAY, LLC
Practice address
4007 Gateway Blvd
Newburgh, IN 47630-8947
Phone
(812) 842-4784
Fax
(812) 842-3921
NPI assigned
Apr 17, 2008
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Rebecca Malotte
Title
Administrator
Phone
(812) 842-4783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X Primary

Addresses

Primary practice location

4007 Gateway Blvd
Newburgh, IN 47630-8947

Mailing address

PO Box 3199
Evansville, IN 47731-3199
Phone (812) 842-4784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124292446. Details of each certification follow.

Hospital certification: CCN 150175

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
THE HEART HOSPITAL AT DEACONESS GATEWAY LLC
Certification status
Terminated Voluntary: merger or closure, Oct 1, 2018
Provider type (POS)
Hospital – Short-term
Participating since
Feb 23, 2009
Last certification
Apr 4, 2012
Beds
24
Ownership / control type
Private (for profit)
Facility address
4007 Gateway Blvd
Newburgh, IN 47630

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4007 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-3921

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1124292446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3199",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313199",
            "telephone_number": "812-842-4784",
            "fax_number": "812-842-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308947",
            "telephone_number": "812-842-4784",
            "fax_number": "812-842-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEART HOSPITAL AT DEACONESS GATEWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "MALOTTE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "812-842-4783",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.