Organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Active
Parent organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Other names
Memorial Hospital and Health Care Center Huntingburg Clinic
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
407 E 22ND ST, HUNTINGBURG, IN 47542-8964
(812) 683-3612
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-8497
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108380A
—
IN
Enumeration date
10/09/2007
Last updated
08/27/2025
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