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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

NPI Number 1114120128
LBN Legal business name DEACONESS MEMORIAL MEDICAL CENTER INC
Authorized official KEITH MILLER - (CAO & INDIANA REGION PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/07/2007
Last updated 08/27/2025 - About 9 months ago
Identifiers
IN Medicaid 200048850Q
IN Other CB3118 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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