DEACONESS MEMORIAL MEDICAL CENTER INC – NPI #1134503279
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

DEACONESS MEMORIAL MEDICAL CENTER INC is a provider located in BRISTOW, IN. NPPES has assigned the NPI number 1134503279 to DEACONESS MEMORIAL MEDICAL CENTER INC on July 18, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Aug 27, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEACONESS MEMORIAL MEDICAL CENTER INC below.

NPI Profile for
DEACONESS MEMORIAL MEDICAL CENTER INC

NPI Number
1134503279
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEACONESS MEMORIAL MEDICAL CENTER INC
Primary location
26020 STATE ROAD 145
BRISTOW, IN 47515
Phone: (812) 357-2099 Fax:
Mailing address
800 W 9TH ST
JASPER, IN 47546-2514
Phone: (812) 996-5255 Fax: (812) 996-8497
Organization Subpart
Yes - DEACONESS MEMORIAL MEDICAL CENTER INC is subpart of another organization.
Authorized Official
KEITH MILLER
CAO & INDIANA REGION PRESIDENT
Phone: (812) 996-0507
Updated
Certification Date
Aug 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.