Clinic/Center, Rural Health
DEACONESS MEMORIAL MEDICAL CENTER INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1730420829 · enumerated 2013-03-14 · record updated 2026-03-16. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: KEITH MILLER, CAO & Indiana Region President · (812) 996-0507
Other names: COUNTRY HEALTH CENTER
Addresses and phones
- Mailing address PO BOX 1028, JASPER, IN, 47547-1028 (812) 996-8478 Fax (812) 996-8497 Google Maps Apple Maps OpenStreetMap
- Practice location 5066 N 900 E, MONTGOMERY, IN, 47558-5790 (812) 486-3396 Fax (812) 486-3354 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics 208000000X
- Nurse Practitioner 363L00000X
- Family Medicine 207Q00000X
- Physician Assistant 363A00000X
- Internal Medicine, Cardiovascular Disease 207RC0000X
- Clinic/Center, Rural Health 261QR1300X · Primary
In this directory
Locations and evidence
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Practice location
MONTGOMERY, IN, 475585790
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.