DEACONESS CLINIC I
NPI 1528214400
Clinic/Center - Rural Health in Princeton, IN

Active since August 12, 2008CLIA 15D0682961 · Waiver
685 VAIL STREET, PRINCETON, IN 47670(812) 386-6560(812) 385-5015 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 7, 2023, Oct 4, 2021, Aug 9, 2017 (3 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 1528214400) is a healthcare organization registered as a rural health in Princeton, Indiana and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through June 29, 2028 and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1528214400
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDEACONESS CLINIC, INC
Location Address685 VAIL STREETPrinceton, IN 47670-9510
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 386-6560 · Fax (812) 385-5015
Fax(812) 385-5015
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateAugust 12, 2008
Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
NPI 1528214400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse PractitionerTaxonomy 363L00000X
685 VAIL STREET, Princeton, IN 47670

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

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 15D0682961

Deaconess Clinic /Princeton · Princeton, IN
Active · expires Jun 29, 2028
CLIA Number15D0682961
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorChristina Reddy
Laboratory Phone(812) 386-6560
Laboratory LocationDeaconess Clinic /Princeton685 Vail St, Princeton, IN 47670
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

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

Family Medicine
685 VAIL STREET
PRINCETON, IN 47670

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 1528214400. 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 685 Vail Street, Princeton, IN 47670. The listed phone number is (812) 386-6560.

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 15D0682961) is associated with this NPI, valid through June 29, 2028. 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 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.