DEACONESS COMP CENTER NORTHPARK
NPI 1417905688
Clinic/Center - Occupational Medicine in Evansville, IN

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.

Active since May 04, 2006CLIA 15D0361479 · Waiver

4506 1ST AVE, EVANSVILLE, IN 47710(812) 428-6161(812) 421-2883 Get Directions Write a Review

NPPES record last updated: January 20, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Deaconess Comp Center Northpark NPPES

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

DEACONESS COMP CENTER NORTHPARK (NPI 1417905688) is a healthcare organization registered as an occupational medicine in Evansville, Indiana and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through November 28, 2026 and lists Linda E White, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1417905688

Entity TypeOrganization

Primary Taxonomy261QX0100X

Legal Business NameDEACONESS CLINIC, INC

Location Address4506 1ST AVEEvansville, IN 47710-3624

Mailing Address329 W Columbia StEvansville, IN 47710-1757 · (812) 450-7455 · Fax (812) 450-2960

Phone(812) 428-6161

Fax(812) 421-2883

Organization SubpartNo

Authorized OfficialLinda E WhitePresident & Ceo · (812) 450-2250

Enumeration DateMay 4, 2006

Last NPPES UpdateJanuary 20, 2016

✔ NPI 1417905688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities

Taxonomy Code261QX0100X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

4506 1ST AVE, Evansville, IN 47710

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Other Names 1

Doing Business AsDeaconess Comp Center Northpark

Other Identifiers 4

Medicare PINCG0999IN

Medicare ID-Type Unspecified131290IN · Medicare Group Number

Medicaid200191200AIN

Medicare NSC5407580002IN

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 Meridian, Ambetter Health 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 15D0361479

Deaconess Urgent Care North Park · Evansville, IN

Active · expires Nov 28, 2026

CLIA Number15D0361479

Laboratory TypePhysician Office

Certificate Effective DateNovember 29, 2024

Certificate Expiration DateNovember 28, 2026

Laboratory DirectorPeter J. Lodico

Laboratory Phone(812) 428-6161

Laboratory LocationDeaconess Urgent Care North Park4506 N First Ave, Evansville, IN 47710

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

WINTHROP BRIAN HEDRICK DO

Family Medicine