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Deaconess Memorial Medical Center Inc

Family Medicine Physician in Petersburg, IN · enumerated 2006 · authorized official Keith Miller, Cao & Indiana Region President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689770083

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Registry record

Entity type Organization (Type 2)
Legal business name Deaconess Memorial Medical Center Inc
Other name <Unavail>
Parent organization Deaconess Memorial Medical Center Inc
Practice address 1003 E Illinois St, Petersburg, IN, 47567
Phone (812) 354-3458
Fax (812) 354-3459
Enumeration date Sep 15, 2006
Last updated in NPPES Mar 16, 2026

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Keith Miller
Title Cao & Indiana Region President
Phone (812) 996-0507

Other identifiers

Identifier Type State Issuer
CB3118 Other IN MEDICARE RAILROAD
200048850K Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-03-16. Verify at npiregistry.cms.hhs.gov.
Where is Deaconess Memorial Medical Center Inc located?
The practice location on file with NPPES is in Petersburg, IN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-16.