1. Home
  2. Directory
  3. Indiana
  4. Fort Branch
  5. Clinic Center
  6. NPI Profile

DEACONESS CLINIC I
NPI 1285880179
Clinic/Center - Rural Health in Fort Branch, IN

Active since August 12, 2008CLIA 15D0923906 · Waiver
802 E OAK ST, FORT BRANCH, IN 47648(812) 753-3942(812) 768-6283 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2023, Aug 10, 2017 (2 updates tracked since 2017).

About Deaconess Clinic I NPPES

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

DEACONESS CLINIC I (NPI 1285880179) is a healthcare organization registered as a rural health in Fort Branch, Indiana and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through July 24, 2027 and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1285880179
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDEACONESS CLINIC, INC
Location Address802 E OAK STFort Branch, IN 47648-1666
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 753-3942 · Fax (812) 768-6283
Phone(812) 753-3942
Fax(812) 768-6283
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateAugust 12, 2008
Last NPPES UpdateDecember 7, 20232 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1285880179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
802 E OAK ST, Fort Branch, IN 47648
Open in Google Maps ↗

Other Names 1

Doing Business AsDeaconess Clinic I

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 Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and more.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 of Waiver 15D0923906

Deaconess Clinic Inc/Ft Branch · Fort Branch, IN
Active · expires Jul 24, 2027
CLIA Number15D0923906
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorJared Kocher
Laboratory Phone(812) 753-3942
Laboratory LocationDeaconess Clinic Inc/Ft Branch802 E Oak St, Fort Branch, IN 47648
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

ADRIAN L CARTER D.O.
Family Medicine
802 E OAK ST
FORT BRANCH, IN 47648
Gibson County (812) 753-3942
DEACONESS HOSPITAL, INC
Family Medicine
802 E OAK ST
FORT BRANCH, IN 47648
Gibson County (812) 753-3942
JARED J KOCHER MD
Family Medicine
802 E OAK ST
FORT BRANCH, IN 47648
Gibson County (812) 753-3942
LARRY W LUTZ M.D.
Family Medicine
802 E OAK ST
FORT BRANCH, IN 47648
Gibson County (812) 753-3942

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 1285880179. It was assigned to this organization in the NPPES registry on August 12, 2008. The provider is doing business as Deaconess Clinic I.

Where is Deaconess Clinic, Inc located?

Deaconess Clinic, Inc is located at 802 E Oak St, Fort Branch, IN 47648. The listed phone number is (812) 753-3942.

What is Deaconess Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Deaconess Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0923906) is associated with this NPI, valid through July 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deaconess Clinic, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from Meridian 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 December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.