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DEACONESS MEMORIAL MEDICAL CENTER INC

Rural Health

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Contact Information

DEACONESS MEMORIAL MEDICAL CENTER INC
5066 N 900 E
MONTGOMERY, IN  47558-5790
 Phone: 812-486-3396
 Fax: 812-486-3354
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Rural Health

 261QR1300X B4[14] Rural Health Clinic
 

Cardiovascular Disease

 207RC0000X 11 Physician/Internal Medicine
 

Family Medicine

 207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

 363L00000X 50 Nurse Practitioner
 

Pediatrics

 208000000X 37 Physician/Pediatric Medicine
 

Physician Assistant

 363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DEACONESS MEMORIAL MEDICAL CENTER INC

NPI # 1730420829
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 03/14/2013
Last updated 03/16/2026 - About 3 months ago
Identifiers n/a
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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