Deaconess Memorial Medical Center Inc
NPI 1114120128ActiveOrganization· Emergency Medicine· Huntingburg, IN
Emergency Medicine in Huntingburg, Indiana, registered in NPPES in June 2007, part of Deaconess Memorial Medical Center Inc. The authorized official on file is Keith Miller, Cao & Indiana Region President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114120128 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Deaconess Memorial Medical Center Inc |
| NPI issued | Jun 7, 2007 |
| Last updated in NPPES | Aug 27, 2025 |
| Certified by provider | Aug 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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