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 1740360700

Deaconess Memorial Medical Center, Inc is a Family Medicine Physician in Loogootee, 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

105 Cooper St
Loogootee, IN 47553
Phone: (812) 295-2812
Fax: (812) 295-3726
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 number1740360700
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDeaconess Memorial Medical Center
Authorized official Keith Miller — Cao & Indiana Region President · (812) 996-0507
Other names Loogootee Family Medicine
NPI enumeratedOctober 16, 2006
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address800 W 9th St, Jasper, IN 47546-2514

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