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DEACONESS CLINIC, INC
NPI 1104445014
Family Medicine in Henderson, KY

Active since April 10, 2020CLIA 18D2162097 · Microscopy
471 KLUTEY PARK PLAZA DR, HENDERSON, KY 42420(270) 830-6100(270) 826-3089 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deaconess Clinic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEACONESS CLINIC, INC (NPI 1104445014), doing business as Deaconess Clinic Klutey Park, is a healthcare organization registered as a family medicine in Henderson, Kentucky and active in the NPI registry since April 2020. The organization holds a CLIA Microscopy certificate valid through February 14, 2027 and lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104445014
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS CLINIC, INC
Location Address471 KLUTEY PARK PLAZA DRHenderson, KY 42420-3347
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6815 · Fax (812) 450-6822
Phone(270) 830-6100
Fax(270) 826-3089
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateApril 10, 2020
NPPES CertifiedApril 10, 2020
✔ NPI 1104445014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
471 KLUTEY PARK PLAZA DR, Henderson, KY 42420
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Other Names 1

Doing Business AsDeaconess Clinic Klutey Park

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D2162097

Deaconess Clinic Klutey Park · Henderson, KY
Active · expires Feb 14, 2027
CLIA Number18D2162097
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorDr. Charles H. Futrell
Laboratory Phone(270) 830-6100
Laboratory LocationDeaconess Clinic Klutey Park471 Klutey Park Drive, Henderson, KY 42420
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENDERSON ORTHOPAEDIC MEDICAL GROUP, PSC
Orthopaedic Surgery
471 KLUTEY PARK PLAZA DR
HENDERSON, KY 42420
Henderson County (270) 830-8032
METHODIST HEALTH, INC.
Orthopaedic Surgery
471 KLUTEY PARK PLAZA DR
HENDERSON, KY 42420
Henderson County (270) 830-8032
TRI-STATE ORTHOPAEDIC SURGEONS, INC
Orthopaedic Surgery
471 KLUTEY PARK PLAZA DR
HENDERSON, KY 42420
Henderson County (812) 477-1558
METHODIST HEALTH, INC.
Family Medicine
471 KLUTEY PARK PLAZA DR
HENDERSON, KY 42420
Henderson County (270) 830-6100
MRS. YVONNE MADDELA DAVIS A.R.N.P.
Nurse Practitioner (Family)
471 KLUTEY PARK PLAZA DR
HENDERSON, KY 42420
Henderson County (270) 830-6100
DAVID LAWFORD WHITNEY MD
Orthopaedic Surgery
471 KLUTEY PARK PLAZA DR
HENDERSON, KY 42420
Henderson County (812) 477-1558
SAMUEL GERHARDT DO
Family Medicine
471 KLUTEY PARK PLAZA DR
HENDERSON, KY 42420
Henderson County (270) 830-6100
AMY M HERR P.T.
Physical Therapist (Orthopedic)
471 KLUTEY PARK PLAZA DR
HENDERSON, KY 42420
Henderson County (270) 830-8032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deaconess Clinic, Inc's NPI number?

The NPI number for Deaconess Clinic, Inc is 1104445014. It was assigned to this organization in the NPPES registry on April 10, 2020. The provider is doing business as Deaconess Clinic Klutey Park.

Where is Deaconess Clinic, Inc located?

Deaconess Clinic, Inc is located at 471 Klutey Park Plaza Dr, Henderson, KY 42420. The listed phone number is (270) 830-6100.

What is Deaconess Clinic, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Deaconess Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 18D2162097) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deaconess Clinic, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Deaconess Clinic, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deaconess Clinic, Inc was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.