Organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Active
Parent organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Other names
French Lick Family Medicine
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
679 S STATE ROAD 145, FRENCH LICK, IN 47432-8328
(812) 936-6400
(812) 936-6402
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-8497
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200048850V
—
IN
Enumeration date
09/18/2008
Last updated
03/16/2026
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