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DEACONESS CLINIC I
NPI 1831345792
Clinic/Center - Rural Health in Petersburg, IN

Active since August 12, 2008CLIA 15D0919558 · Waiver
106 W PIKE AVE, PETERSBURG, IN 47567(812) 354-1052(812) 354-8280 Get Directions Write a Review

NPPES record last updated: August 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deaconess Clinic I NPPES

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

DEACONESS CLINIC I (NPI 1831345792) is a healthcare organization registered as a rural health in Petersburg, Indiana and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1831345792
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDEACONESS CLINIC, INC
Location Address106 W PIKE AVEPetersburg, IN 47567-8750
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 354-1052 · Fax (812) 354-8280
Phone(812) 354-1052
Fax(812) 354-8280
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateAugust 12, 2008
Last NPPES UpdateAugust 10, 2017
✔ NPI 1831345792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
106 W PIKE AVE, Petersburg, IN 47567
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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

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 15D0919558

Deaconess Clinic Inc/Petersburg · Petersburg, IN
Active · expires Aug 17, 2027
CLIA Number15D0919558
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorGary J. Keepes
Laboratory Phone(812) 354-1052
Laboratory LocationDeaconess Clinic Inc/Petersburg1004 East Illinois Street, Petersburg, IN 47567
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

TONI M MARTIN N.P.
Nurse Practitioner
106 W PIKE AVE
PETERSBURG, IN 47567
Pike County (812) 354-1052
GARY J KEEPES M.D.
Family Medicine
106 W PIKE AVE
PETERSBURG, IN 47567
Pike County (812) 354-1052
ALEXANDRIA JO CARIE-KROEGER NP
Nurse Practitioner
106 W PIKE AVE
PETERSBURG, IN 47567
Pike County (812) 354-1052
DEACONESS HOSPITAL, INC
Clinic/Center (Rural Health)
106 W PIKE AVE
PETERSBURG, IN 47567
Pike County (812) 354-1052
NATHANIAL D GROW M.D.
Family Medicine
106 W PIKE AVE
PETERSBURG, IN 47567
Pike County (812) 354-1052

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 1831345792. 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 106 W Pike Ave, Petersburg, IN 47567. The listed phone number is (812) 354-1052.

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 15D0919558) is associated with this NPI, valid through August 17, 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, Anthem Blue Cross and Blue Shield and CareSource 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 8 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.