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Contact Information

DEACONESS MEMORIAL MEDICAL CENTER INC
229 HIGH ST
SHOALS, IN47581-5501
 Phone: 812-247-2733
 Fax: 812-247-2373
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for DEACONESS MEMORIAL MEDICAL CENTER INC

NPI # 1558443077
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 10/20/2006
Last updated 08/27/2025 - About 9 months ago
Identifiers
IN Medicaid 200298610A
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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