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Deaconess Clinic, Inc

NPI 1174026363ActiveOrganization· Clinic/Center· Boonville, IN

Clinic/Center in Boonville, Indiana, registered in NPPES in March 2018. The authorized official on file is Cheryl Annette Wathen, Cfo.

Overview

NPI1174026363
StatusActive
Entity typeOrganization
NPI issuedMar 14, 2018
Last updated in NPPESMar 14, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years