| Deaconess Memorial Medical Center Inc | |
|
92 W Christmas Blvd Santa Claus IN 47579-6044 | |
| (812) 937-4120 | |
| (812) 937-7074 |
| Full Name | Deaconess Memorial Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 92 W Christmas Blvd, Santa Claus, 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: (812) 481-8493 | Deaconess Memorial Medical Center Inc 92 W Christmas Blvd Santa Claus IN 47579-6044 Ph: (812) 937-4120 |
| NPI Number | 1295788362 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 08/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295788362 | NPI | - | NPPES |
| CB3118 | Other | IN | RAILROAD MEDICARE |
| 200048850L | 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: 92 W Christmas Blvd, Santa Claus, IN 47579 Phone: 812-937-4120 Fax: 812-996-7074 |