DEACONESS CLINIC, INC
NPI 1326541673
Clinic/Center in Newburgh, IN
NPI Status: Active since March 13, 2018
Contact Information
3711 CASEY RD
NEWBURGH, IN
ZIP 47630
Phone: (812) 490-1122
Fax: (812) 490-1123
- Organization
- Clinic/Center
- CLIA Number: 15D2167747
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-12-2027
About DEACONESS CLINIC, INC
This page provides the complete NPI Profile along with additional information for Deaconess Clinic, Inc, a provider established in Newburgh, Indiana operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1326541673 assigned on March 2018. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Cheryl Annette Wathen (Cfo)
- NPI
- 1326541673
- Provider Name
- DEACONESS CLINIC, INC
- Entity Type
- Organization
- Location Address
- 3711 CASEY RD NEWBURGH, IN 47630
- Location Phone
- (812) 490-1122
- Location Fax
- (812) 490-1123
- Mailing Address
- PO BOX 1510 EVANSVILLE, IN 47706
- Mailing Phone
- (812) 490-1122
- Mailing Fax
- (812) 490-1123
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-13-2018
- Last Update Date
- 03-13-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2167747
- Facility Type
- Physician Office
- Certificate Effective Date
- June 13, 2025
- Certificate Expiration Date
- June 12, 2027
- Laboratory Director
- JON S. ULOTH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Deaconess Clinic, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for DEACONESS CLINIC, INC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 2 | 6 | 5 | 4 | 1 | 6 | 7 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 10 | 4 | 2 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 1 + 0 + 4 + 2 + 6 + 1 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1326541673 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1457906448 | VICTORIA M JOHNSON NP Individual | Nurse Practitioner | 3711 CASEY RD NEWBURGH, IN 47630 (812) 490-1122 |
| 1073598330 | JON SCOTT ULOTH M.D. Individual | Family Medicine | 3711 CASEY RD NEWBURGH, IN 47630 (812) 490-1122 |
| 1508338955 | AUDREY DOVE KEY NP Individual | Nurse Practitioner | 3711 CASEY RD NEWBURGH, IN 47630 (812) 490-1122 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326541673, enumerated in the NPI registry as an "organization" on March 13, 2018
The provider is located at 3711 Casey Rd Newburgh, In 47630 and the phone number is (812) 490-1122
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider's CLIA number is 15D2167747 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 13, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.