Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deaconess Memorial Medical Center Inc

Organization Family Medicine Physician · NPI 1174603153

Deaconess Memorial Medical Center Inc is a Family Medicine Physician in Dale, Indiana. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4 W Vine St
Dale, IN 47523
Phone: (812) 937-7140
Fax: (812) 937-7145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Rural Health Clinic/Center Taxonomy 261QR1300X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1174603153
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDeaconess Memorial Medical Center Inc
Authorized official Keith Miller — Cao & Indiana Region President · (812) 996-0507
Other names Dale Family Medicine
NPI enumeratedOctober 16, 2006
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing addressPo Box 1028, Jasper, IN 47547-1028

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