DEACONESS MEMORIAL MEDICAL CENTER INC – NPI #1689770083
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.

DEACONESS MEMORIAL MEDICAL CENTER INC is a provider located in PETERSBURG, IN. NPPES has assigned the NPI number 1689770083 to DEACONESS MEMORIAL MEDICAL CENTER INC on September 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 Mar 16, 2026. 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
1689770083
Enumeration Date

(more than 19 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
1003 E ILLINOIS ST
PETERSBURG, IN 47567
Phone: (812) 354-3458 Fax: (812) 354-3459
Mailing address
800 W 9TH ST
JASPER, IN 47546-2514
Phone: (812) 996-8478 Fax:
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
Mar 16, 2026

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.

Identifiers

Identifiers for DEACONESS MEMORIAL MEDICAL CENTER INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE RAILROADINCB3118
medicaidIN200048850K
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)
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant
261QR1300X
- Clinic/Center / Rural Health

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.