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 1730420829

Deaconess Memorial Medical Center Inc is a Family Medicine Physician in Montgomery, Indiana. Licensed in Indiana. Registered with an NPI since 2013.

Licensed in
IN
In the registry since
2013
Specialties on file
6
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

5066 N 900 E
Montgomery, IN 47558-5790
Phone: (812) 486-3396
Fax: (812) 486-3354
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X (IN)
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Pediatrics Physician Taxonomy 208000000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1730420829
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 Country Health Center
NPI enumeratedMarch 14, 2013
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing addressPo Box 1028, Jasper, IN 47547-1028

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