Organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Active
Parent organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Other names
MEMORIAL HEALTHCARE OF HUNTINGBURG
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEACONESS MEMORIAL MEDICAL CENTER INC
Authorized official
MR. KEITH MILLER (CAO & INDIANA REGION PRESIDENT)
(812) 996-0507
Entity
Organization
Contact information
Practice address
507 E 19TH STREET, HUNTINGBURG, IN 47542
(812) 683-4717
(812) 683-4764
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 481-8493
(812) 481-8497
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200048850Q
—
IN
01
—
CB3118
RAILROAD MEDICARE
IN
Enumeration date
06/07/2007
Last updated
08/27/2025
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