DEACONESS CLINIC INC. - NPI 1699921585 - Family Medicine in Rockport, IN

Q: What is Deaconess Clinic Inc.'s NPI number?

The NPI number for Deaconess Clinic Inc. is 1699921585. It was assigned to this organization in the NPPES registry on August 12, 2008. The provider is doing business as Deaconess Clinic II.

Q: What is Deaconess Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Deaconess Clinic Inc. NPPES

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

DEACONESS CLINIC INC. (NPI 1699921585), doing business as Deaconess Clinic Ii, is a healthcare organization registered as a family medicine in Rockport, Indiana and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through April 21, 2027 and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1699921585

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDEACONESS CLINIC INC.

Location Address3434 W STATE ROAD 66Rockport, IN 47635-9259

Mailing AddressPo Box 3868Evansville, IN 47737-3868 · (812) 649-5061 · Fax (812) 649-5224

Phone(812) 649-5061

Fax(812) 649-5224

Organization SubpartNo

Authorized OfficialCheryl A WathenCfo · (812) 450-3296

Enumeration DateAugust 12, 2008

Last NPPES UpdateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1699921585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedNurse PractitionerTaxonomy 363L00000X

3434 W STATE ROAD 66, Rockport, IN 47635

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Other Names 1

Doing Business AsDeaconess Clinic Ii

Other Identifiers 4

Medicaid200910900IN

Other7100051640KY · Ky Medicaid Podiatry

Other7100051610KY · Ky Medicaid Np

Other7100051590KY · Ky Medicaid Physicians

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 15D2006166

Deaconess Clinic Reo · Rockport, IN

Active · expires Apr 21, 2027

CLIA Number15D2006166

Laboratory TypePhysician Office

Certificate Effective DateApril 22, 2025

Certificate Expiration DateApril 21, 2027

Laboratory DirectorDr. Susan M. Martin

Laboratory Phone(812) 649-5061

Laboratory LocationDeaconess Clinic Reo3434 W State Rd 66, Rockport, IN 47635

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.

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