Deaconess Memorial Medical Center Inc
NPI 1689770083ActiveOrganization· Family Medicine· Petersburg, IN
Family Medicine in Petersburg, Indiana, registered in NPPES in September 2006, part of Deaconess Memorial Medical Center Inc. The authorized official on file is Keith Miller, Cao & Indiana Region President. Enrolled in Medicare as part a provider - rural health clinic.
Overview
| NPI | 1689770083 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Deaconess Memorial Medical Center Inc |
| NPI issued | Sep 15, 2006 |
| Last updated in NPPES | Mar 16, 2026 |
| Certified by provider | Mar 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Rural Health | 261QR1300X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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 A Provider - Rural Health Clinic (IN) |
|---|
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