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 1235063058

Deaconess Memorial Medical Center Inc is a Family Medicine Physician in Huntingburg, Indiana. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
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

507 E 19th St
Huntingburg, IN 47542-9388
Phone: (812) 683-4717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1235063058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Miller — Cao · (812) 996-0507
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing addressPo Box 632641, Cincinnati, OH 45263-2641

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