| Deaconess Memorial Medical Center Inc | |
|
3644 E County Road 1600 N Lincoln City IN 47552-9662 | |
| (812) 937-6021 | |
| Not Available |
| Full Name | Deaconess Memorial Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3644 E County Road 1600 N, Lincoln City, Indiana |
| Authorized Official Name and Position | Keith Miller (CAO & INDIANA REGION PRESIDENT) |
| Authorized Official Contact | 8129960507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Memorial Medical Center Inc 800 W 9th St Jasper IN 47546-2514 Ph: () - | Deaconess Memorial Medical Center Inc 3644 E County Road 1600 N Lincoln City IN 47552-9662 Ph: (812) 937-6021 |
| NPI Number | 1962857813 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 08/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962857813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |