Organization · Type 2 NPI

Deaconess Memorial Medical Center Inc

Family Medicine Physician · Santa Claus, IN

NPI number 1295788362 Active

Practice location

92 W Christmas Blvd
Santa Claus, IN 47579-6044

Call (812) 937-4120 Map

Fax (812) 937-7074

Mailing address

800 W 9th St
Jasper, IN 47546-2514

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None 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.

6 other providers at this address

Other family medicine physician providers in Santa Claus

Deaconess Clinic IncFamily Medicine Physician Santa Claus, IN NPI 1962293936

See all in Santa Claus →

NPI record

NPI: 1295788362
Entity type: Organization (Type 2)
Issued: May 18, 2006
Last updated: Aug 27, 2025
Status: Active
Subpart: Yes of Deaconess Memorial Medical Center Inc

Other names

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Memorial Hospital and Health Care Center Santa Claus Family Medicine · doing business as

Authorized official

Mr. Keith Miller
Cao & Indiana Region President
(812) 996-0507

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295788362

Deaconess Memorial Medical Center Inc's National Provider Identifier is 1295788362, issued on May 18, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Santa Claus, IN. The record was last updated on Aug 27, 2025.