DEACONESS CLINIC, I
NPI 1396040374
Family Medicine in Oakland City, IN

Active since January 21, 2011CLIA 15D0361297 · Waiver
1204 WILLIAMS ST., OAKLAND CITY, IN 47660(812) 749-6187(812) 749-4966 Get Directions Write a Review

NPPES record last updated: August 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deaconess Clinic, I NPPES

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

DEACONESS CLINIC, I (NPI 1396040374) is a healthcare organization registered as a family medicine in Oakland City, Indiana and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1396040374
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS CLINIC, INC
Location Address1204 WILLIAMS ST.Oakland City, IN 47660-1001
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 749-6187 · Fax (812) 749-4966
Fax(812) 749-4966
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateJanuary 21, 2011
Last NPPES UpdateAugust 10, 2017
NPI 1396040374 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 ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1204 WILLIAMS ST., Oakland City, IN 47660

Other Names 1

Doing Business AsDeaconess Clinic, I

Other Identifiers 1

Medicare PIN257900IN

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

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 15D0361297

Deaconess Clinic - Oakland City · Oakland City, IN
Active · expires Dec 11, 2027
CLIA Number15D0361297
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorHolly Heichelbech
Laboratory Phone(812) 749-6187
Laboratory LocationDeaconess Clinic - Oakland City1204 Williams St, Oakland City, IN 47660
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1396040374. It was assigned to this organization in the NPPES registry on January 21, 2011. The provider is doing business as Deaconess Clinic, I.

Where is Deaconess Clinic, Inc located?

Deaconess Clinic, Inc is located at 1204 Williams St., Oakland City, IN 47660. The listed phone number is (812) 749-6187.

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 of Waiver (number 15D0361297) is associated with this NPI, valid through December 11, 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 from Buckeye Health Plan, Ambetter from Meridian and 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 August 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.