# DEACONESS MEMORIAL MEDICAL CENTER, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEACONESS MEMORIAL MEDICAL CENTER
- **Other names:** Loogootee Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740360700
- **Legal business name:** DEACONESS MEMORIAL MEDICAL CENTER
- **Authorized official:** KEITH MILLER (CAO & INDIANA REGION PRESIDENT)
- **Authorized official phone:** (812) 996-0507

## Contact information

- **Practice address:** 105 COOPER ST, LOOGOOTEE, IN 47553
- **Practice address phone:** (812) 295-2812
- **Practice address fax:** (812) 295-3726
- **Mailing address:** 800 W 9TH ST, JASPER, IN 47546-2514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 03/16/2026