Organization · Type 2 NPI

Deaconess Memorial Medical Center Inc

Family Medicine Physician · Dale, IN

NPI number 1174603153 Active

Practice location

4 W Vine St
Dale, IN 47523

Fax (812) 937-7145

Mailing address

PO Box 1028
Jasper, IN 47547-1028

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Rural Health Clinic/Center 261QR1300XNone listed
Nurse Practitioner 363L00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

About NPI 1174603153

Deaconess Memorial Medical Center Inc's National Provider Identifier is 1174603153, issued on Oct 16, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Dale, IN. The record was last updated on Mar 16, 2026.