Organization
DEACONESS MEMORIAL MEDICAL CENTER, INC
Active
Parent organization
DEACONESS MEMORIAL MEDICAL CENTER
Other names
Loogootee Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEACONESS MEMORIAL MEDICAL CENTER
Authorized official
KEITH MILLER (CAO & INDIANA REGION PRESIDENT)
(812) 996-0507
Entity
Organization
Contact information
Practice address
105 COOPER ST, LOOGOOTEE, IN 47553
(812) 295-2812
(812) 295-3726
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200048850E
—
IN
01
—
CB3118
RAILROAD MEDICARE
IN
Enumeration date
10/16/2006
Last updated
03/16/2026
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