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Deaconess Clinc Inc

Nurse Practitioner in Mount Vernon, IN · enumerated 2010 · authorized official Cheryl Wathen, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609108976

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Registry record

Entity type Organization (Type 2)
Legal business name Deaconess Clinc Inc
Other name <Unavail>
Practice address 813 E 4th St Ste A, Mount Vernon, IN, 47620
Phone (812) 838-2139
Fax (812) 838-9214
Enumeration date Feb 11, 2010
Last updated in NPPES Oct 27, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Cheryl Wathen
Title Cfo
Phone (812) 450-3296

Other identifiers

Identifier Type State Issuer
200910700 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Deaconess Clinc Inc?
Deaconess Clinc Inc is registered in NPPES as a Nurse Practitioner (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-27.