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
Organization subpart
No

Authorized official

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

Member of 1

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

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 42

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4007 Gateway Blvd
Newburgh, IN 47630-8947

Mailing address

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

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
7100103930MedicaidKY
200935230AMedicaidIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 2, 2014.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100103930",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200935230A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.