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General NPI Number Information
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NPI Number | 1114848249
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Entity Type | Organization
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Legal Business Name | DEACONESS MEMORIAL MEDICAL CENTER INC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 4488 ROSLIN RD
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City | NEWBURGH
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State | IN
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Zip | 47630-8590
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Country | US
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Telephone | 812-858-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 4488 ROSLIN RD
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City | NEWBURGH
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State | IN
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Zip | 47630-8590
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Country | US
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Telephone | 812-858-7200
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Fax |
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Authorized Official
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Title or Position | CAO
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Name | KEITH MILLER
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Credential |
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Telephone | 812-996-0507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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