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DEACONESS SPECIALTY PHYSICIANS, INC.

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Company Details

Name: DEACONESS SPECIALTY PHYSICIANS, INC.
Legal type: Foreign Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 17 May 2018 (7 years ago)
Authority Date: 17 May 2018 (7 years ago)
Last Annual Report: 02 May 2024 (a year ago)
Organization Number: 1021304
Industry: Health Services
Number of Employees: Medium (20-99)
Principal Office: 600 MARY STREET, EVANSVILLE, IN 47710
Place of Formation: INDIANA

Registered Agent

Name Role
CT CORPORATION SYSTEM Registered Agent

Officer

Name Role
Bradley Scheu Officer
James Porter Officer

Secretary

Name Role
Julie Dingman Secretary

Treasurer

Name Role
Kyle Dillman Treasurer

Director

Name Role
Bradley Scheu Director
James Porter Director
Julie Dingman Director
Kyle Dillman Director

National Provider Identifier

NPI Number:
1831996222
Certification Date:
2025-02-25

Authorized Person:

Name:
CHERYL ANNETTE WATHEN
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
2708317939

Assumed Names

Name Status Expiration Date
DEACONESS HEARTCARE Active 2028-04-13
DEACONESS HEART GROUP Active 2028-04-13

Filings

Name File Date
Annual Report 2024-05-02
Annual Report 2023-05-09
Name Renewal 2023-04-13
Name Renewal 2023-04-13
Annual Report 2022-05-17

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Sources: Kentucky Secretary of State