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 1972877280

Deaconess Memorial Medical Center Inc is a Family Medicine Physician in Leavenworth, Indiana. Registered with an NPI since 2012.

In the registry since
2012
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

6402 E Industrial Ln
Leavenworth, IN 47137-8316
Phone: (877) 291-6488
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1972877280
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 Crawford County Family Medicine
NPI enumeratedMarch 5, 2012
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing addressP O Box 1028, Jasper, IN 47547-1028

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