Organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH MILLER (CAO)
(812) 996-0507
Entity
Organization
Contact information
Practice address
507 E 19TH ST, HUNTINGBURG, IN 47542-9388
(812) 683-4717
Mailing address
PO BOX 632641, CINCINNATI, OH 45263-2641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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