NPIMap

Deaconess Hospital, Inc

Organization Active NPI Durable Medical Equipment & Medical Supplies · Evansville, IN

NPI 1861498529 · NPPES record last updated Mar 25, 2008

Key facts

NPI
1861498529
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
DEACONESS HOSPITAL, INC
Practice address
701 Garfield Ave
Evansville, IN 47710-1771
Phone
(812) 450-4673
Fax
(812) 450-4665
NPI assigned
Jun 27, 2005
Organization subpart
No

Authorized official

Name
Ms. Linda E White, RN
Title
President/Ceo
Phone
(812) 450-5000

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Practitioners 410

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

View all 410

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Deaconess Hospital, Inc.
701 Garfield Ave, Evansville, IN 47710-1771 · (812) 450-4673		 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Suppl… Accepts assignment
Participating since Apr 24, 2018

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Encompass Health Deaconess Rehabilitation Hospital
Newburgh, IN · CCN 153025		 Hospital 5% Or Greater Direct Ownership Interest (27.5%) May 9, 1997
The Women'S Hospital
Newburgh, IN · CCN 150149		 Hospital 5% Or Greater Direct Ownership Interest (50%) Nov 9, 1998
Deaconess Home Health, LLC
Evansville, IN · CCN 157565		 Home health agency 5% Or Greater Direct Ownership Interest (50%) Nov 2, 2019

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930059715 IN DME Supplier - Pharmacy
DME Supplier - Medical Supply Company
DME Supplier - Medical Supply Company With Respiratory Therapist		 9032021431 Practice locations: Evansville, IN

National Provider Directory

Tax ID family
Tom P Martin MD (46 organizations share this tax ID)

Locations

3150 Warrick Dr
Ste 100
Boonville, IN 47601
Phone (812) 897-5660

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes
Oxygen Equipment & Supplies (DME) 332BX2000X 69000101A IN
Home Infusion Therapy Pharmacy 3336H0001X 60001691A IN

Addresses

Primary practice location

701 Garfield Ave
Evansville, IN 47710-1771

Mailing address

600 Mary St
Evansville, IN 47747-0001
Phone (812) 450-4673

Other identifiers

IdentifierTypeStateIssuer
90234451MedicaidKY
100456950MedicaidIN
35059390003MedicaidIL

Other names

  • Deaconess Home Medical Equipment and Infusion Doing business as

Other providers in Evansville, IN

All providers in Evansville, IN · Durable Medical Equipment & Medical Supplies in Indiana

Sources for this page

Verify at the official NPI Registry.