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DEACONESS CLINIC I
NPI 1639502859
Family Medicine in Boonville, IN

Active since August 12, 2013CLIA 15D2066066 · Waiver
3150 WARRICK DR, BOONVILLE, IN 47601(812) 858-3355(812) 858-3350 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2020, Nov 26, 2018, Aug 10, 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 1639502859) is a healthcare organization registered as a family medicine in Boonville, Indiana and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639502859
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS CLINIC, INC
Location Address3150 WARRICK DRBoonville, IN 47601-8602
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6879 · Fax (812) 858-4586
Phone(812) 858-3355
Fax(812) 858-3350
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateAugust 12, 2013
Last NPPES UpdateOctober 27, 20203 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1639502859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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 ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
3150 WARRICK DR, Boonville, IN 47601
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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 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 15D2066066

Deaconess Clinic Boonville Attn Haley Buck · Boonville, IN
Active · expires Sep 19, 2027
CLIA Number15D2066066
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorDr. Faryaal Aamir
Laboratory Phone(812) 858-3355
Laboratory LocationDeaconess Clinic Boonville Attn Haley Buck3150 Warrick Dr Suite A, Boonville, IN 47601
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 6

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

AMANDA D STRATHMANN NP
Nurse Practitioner
3150 WARRICK DR
BOONVILLE, IN 47601
Warrick County (812) 858-3355
DR. RAJINDER D BALASURIYA D.O.
Internal Medicine
3150 WARRICK DR
BOONVILLE, IN 47601
Warrick County (812) 858-3355
HOPE D HOEING NP
Nurse Practitioner
3150 WARRICK DR
BOONVILLE, IN 47601
Warrick County (812) 450-6430
FARYAAL AAMIR MD
Family Medicine
3150 WARRICK DR
BOONVILLE, IN 47601
Warrick County (812) 858-3355
HEATHER R BAILEY NP
Nurse Practitioner
3150 WARRICK DR
BOONVILLE, IN 47601
Warrick County (812) 858-3355
DEEPTHI L NAIR PA
Physician Assistant
3150 WARRICK DR
BOONVILLE, IN 47601
Warrick County (812) 450-6430

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 1639502859. It was assigned to this organization in the NPPES registry on August 12, 2013. The provider is doing business as Deaconess Clinic I.

Where is Deaconess Clinic, Inc located?

Deaconess Clinic, Inc is located at 3150 Warrick Dr, Boonville, IN 47601. The listed phone number is (812) 858-3355.

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 15D2066066) is associated with this NPI, valid through September 19, 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 October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.