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Organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Active
Organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Active
Parent organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Other names
PETERSBURG FAMILY MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEACONESS MEMORIAL MEDICAL CENTER INC
Authorized official
KEITH MILLER (CAO & INDIANA REGION PRESIDENT)
(812) 996-0507
Entity
Organization
Contact information
Practice address
1003 E ILLINOIS ST, PETERSBURG, IN 47567
(812) 354-3458
(812) 354-3459
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-8478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/15/2006
Last updated
03/16/2026
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