| Organization Name: | DEACONESS HOSPITAL, INC. |
| NPI Number: | 1114315181 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA E WHITE (PRESIDENT/CEO) |
| Mailing Address: | 966 N Baker Rd Boonville |
| State: | IN US |
| Postal Code: | 476019509 |
| Phone Number: | 8128975660 |
| Fax Number: | 8128975400 |
| NPI Enumeration Date: | 12/29/2014 |
| NPI Last Update Date: | 12/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |