| Deaconess Memorial Medical Center Inc | |
|
303 North Meridian Street Holland IN 47541 | |
| (812) 536-3943 | |
| Not Available |
| Full Name | Deaconess Memorial Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 303 North Meridian Street, Holland, 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 303 North Meridian Street Holland IN 47541 Ph: (812) 536-3943 | Deaconess Memorial Medical Center Inc 303 North Meridian Street Holland IN 47541 Ph: (812) 536-3943 |
| NPI Number | 1255525721 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 08/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255525721 | NPI | - | NPPES |
| CB3118 | Other | IN | RAILROAD MEDICARE |
| 200048850R | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Deaconess Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 N Meridian St, Holland, IN 47541 Phone: 812-536-3943 Fax: 812-777-4863 |