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Contact Information

DEACONESS MEMORIAL MEDICAL CENTER INC
507 E 19TH STREET
HUNTINGBURG, IN47542
 Phone: 812-683-4717
 Fax: 812-683-4764
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DEACONESS MEMORIAL MEDICAL CENTER INC · (Female)

NPI # 1114120128
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2007
Last updated 08/27/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 200048850Q
  • IN Other CB3118 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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