Deaconess Hospital, Inc

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

DEACONESS HOSPITAL, INC

Practice address

2792 N US Highway 231
Rockport, IN 47635-8883

Phone

(812) 471-4611

Fax

(812) 471-4643

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Richard M Stivers

Title

Sr Vice President, Cfo

Phone

(812) 450-3296

Specialties & licenses 1

Addresses

Other names 1

• Deconess Cross Pointe Doing business as

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1598844680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061230",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2792 N US HIGHWAY 231",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476358883",
            "telephone_number": "812-471-4611",
            "fax_number": "812-471-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "STIVERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR VICE PRESIDENT, CFO",
        "authorized_official_telephone_number": "812-450-3296"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deconess Cross Pointe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Chester Collier, RPH
• Hannah Leigh Colvin
• Kevin Lloyd Davis, RPH
• Deaconess Clinic Inc.
• Deaconess Clinic, Inc.
• Dr. C. Michael Wood
• Brittany Carol Eirwin-Maqueda, DMD
• Katrina J Erickson, M.D.
• Faulkenberg Harth Inc
• Kayla Hagan Fearon, PTA

• Counselor in Rockport, IN
• Providers in Rockport, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.