Deaconess Memorial Medical Center, Inc
NPI 1740360700ActiveOrganization· Family Medicine· Loogootee, IN
Family Medicine in Loogootee, Indiana, registered in NPPES in October 2006, part of Deaconess Memorial Medical Center. The authorized official on file is Keith Miller, Cao & Indiana Region President. Enrolled in Medicare as part a provider - rural health clinic.
Overview
| NPI | 1740360700 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Deaconess Memorial Medical Center |
| NPI issued | Oct 16, 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 | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Rural Health Clinic (IN) |
|---|
Other Family Medicine providers in Loogootee
- 1174185896
- 1205891744
- 1770670440