Deaconess Memorial Medical Center Inc
NPI 1174603153 · Family Medicine Physician · Dale, IN
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Deaconess Memorial Medical Center Inc is a Family Medicine Physician organization in Dale, IN (NPI 1174603153).
Provider details
- NPI number
- 1174603153
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Deaconess Memorial Medical Center Inc
- Organization subpart
- Yes
- Authorized official
- Keith Miller, Cao & Indiana Region President(812) 996-0507
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dale Family Medicine
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Frequently asked questions
- What is Deaconess Memorial Medical Center Inc's NPI number?
- Deaconess Memorial Medical Center Inc's National Provider Identifier (NPI) is 1174603153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deaconess Memorial Medical Center Inc?
- Deaconess Memorial Medical Center Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Deaconess Memorial Medical Center Inc located?
- Deaconess Memorial Medical Center Inc's practice location on file with NPPES is 4 W Vine St, Dale, IN 47523.
- What is Deaconess Memorial Medical Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Deaconess Memorial Medical Center Inc is (812) 937-7140.
- Does Deaconess Memorial Medical Center Inc accept Medicare?
- Deaconess Memorial Medical Center Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Deaconess Memorial Medical Center Inc?
- The authorized official listed on Deaconess Memorial Medical Center Inc's NPPES record is Keith Miller, Cao & Indiana Region President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deaconess Memorial Medical Center Inc's NPI active?
- Yes — Deaconess Memorial Medical Center Inc's NPI (1174603153) is active in the NPPES registry as of the last update on 2026-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.