Organization · Type 2 NPI

Deaconess Memorial Medical Center Inc

Rural Health Clinic/Center · Montgomery, IN

NPI number 1730420829 Active

Practice location

5066 N 900 E
Montgomery, IN 47558-5790

Fax (812) 486-3354

Mailing address

PO Box 1028
Jasper, IN 47547-1028

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
Pediatrics Physician 208000000XNone listed
Rural Health Clinic/Center Primary 261QR1300XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1730420829

Deaconess Memorial Medical Center Inc's National Provider Identifier is 1730420829, issued on Mar 14, 2013. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Montgomery, IN. The record was last updated on Mar 16, 2026.