| Deaconess Memorial Medical Center Inc | |
|
115 S Main St Ferdinand IN 47532-9534 | |
| (812) 367-1906 | |
| (812) 367-2487 |
| Full Name | Deaconess Memorial Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 115 S Main St, Ferdinand, Indiana |
| Authorized Official Name and Position | Keith Miller (CAO & INDIANA REGION PRESIDENT) |
| Authorized Official Contact | 8129690507 |
| 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 115 S Main St Ferdinand IN 47532-9534 Ph: (812) 367-1906 |
| NPI Number | 1700966777 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700966777 | NPI | - | NPPES |
| 200048850B | Medicaid | IN | |
| CB3118 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Deaconess Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 S Main St, Ferdinand, IN 47532 Phone: 812-367-1906 Fax: 812-367-2487 |