Deaconess Memorial Medical Center Inc is a medicare enrolled primary clinic (Family Medicine) in Dale, Indiana. The current practice location for Deaconess Memorial Medical Center Inc is 4 W Vine St, Dale, Indiana. For appointments, you can reach them via phone at
(812) 937-7140. The mailing address for Deaconess Memorial Medical Center Inc is Po Box 1028, Jasper, Indiana and phone number is (812) 996-8478.
Deaconess Memorial Medical Center Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1174603153. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(812) 937-7140.
Primary Care Clinic Profile
| Full Name | Deaconess Memorial Medical Center Inc |
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| Speciality | Family Medicine |
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| Location | 4 W Vine St, Dale, Indiana |
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| Authorized Official Name and Position | Keith Miller (CAO & INDIANA REGION PRESIDENT) |
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| Authorized Official Contact | 8129960507 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deaconess Memorial Medical Center Inc
Po Box 1028
Jasper
IN 47547-1028
Ph: (812) 996-8478 | Deaconess Memorial Medical Center Inc
4 W Vine St
Dale
IN 47523
Ph: (812) 937-7140 |
NPI Details:
| NPI Number | 1174603153 |
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| Provider Enumeration Date | 10/16/2006 |
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| Last Update Date | 03/16/2026 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4587578042 |
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| Medicare Enrollment ID | O20101124000873 |
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Medical Identifiers
Medical identifiers for Deaconess Memorial Medical Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174603153 | NPI | - | NPPES |
| CB3118 | Other | KY | RAILROAD MEDICARE |
| 200282080A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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