Organization · Type 2 NPI

Deaconess Memorial Medical Center, Inc

Family Medicine Physician · Loogootee, IN

NPI number 1740360700 Active

Practice location

105 Cooper St
Loogootee, IN 47553

Call (812) 295-2812 Map

Fax (812) 295-3726

Mailing address

800 W 9th St
Jasper, IN 47546-2514

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Rural Health Clinic/Center	261QR1300X	None listed
Nurse Practitioner	363L00000X	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.

3 other providers at this address

NPI record

NPI: 1740360700
Entity type: Organization (Type 2)
Issued: Oct 16, 2006
Last updated: Mar 16, 2026
Status: Active
Subpart: Yes of Deaconess Memorial Medical Center

Other names

<unavail>
Loogootee Family Medicine · doing business as

Authorized official

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 1740360700

Deaconess Memorial Medical Center, Inc's National Provider Identifier is 1740360700, issued on Oct 16, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Loogootee, IN. The record was last updated on Mar 16, 2026.