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DEACONESS MEMORIAL MEDICAL CENTER INC
NPI 1114120128
Emergency Medicine in Huntingburg, IN

Active since June 07, 2007CLIA 15D1069557 · Waiver
507 E 19TH STREET, HUNTINGBURG, IN 47542(812) 683-4717(812) 683-4764 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deaconess Memorial Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEACONESS MEMORIAL MEDICAL CENTER INC (NPI 1114120128), doing business as Memorial Healthcare Of Huntingburg, is a healthcare organization registered as an emergency medicine in Huntingburg, Indiana and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through October 8, 2027 and lists Keith Miller, Cao & Indiana Region President, as its authorized official.

NPPES Registry Identity

NPI1114120128
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameDEACONESS MEMORIAL MEDICAL CENTER INC
Location Address507 E 19TH STREETHuntingburg, IN 47542
Mailing Address800 W 9th StJasper, IN 47546-2514 · (812) 481-8493 · Fax (812) 481-8497
Phone(812) 683-4717
Fax(812) 683-4764
Organization SubpartYes
Authorized OfficialKeith MillerCao & Indiana Region President · (812) 996-0507
Enumeration DateJune 7, 2007
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1114120128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X
507 E 19TH STREET, Huntingburg, IN 47542
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Other Names 1

Doing Business AsMemorial Healthcare Of Huntingburg

Other Identifiers 2

Medicaid200048850QIN
OtherCB3118IN · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D1069557

Deaconess Memorial Medical Center Huntingburg Urgent Care · Huntingburg, IN
Active · expires Oct 8, 2027
CLIA Number15D1069557
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorGregory T. Pfister
Laboratory Phone(812) 683-4717
Laboratory LocationDeaconess Memorial Medical Center Huntingburg Urgent Care507 E 19th Street, Huntingburg, IN 47542
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deaconess Memorial Medical Center Inc's NPI number?

The NPI number for Deaconess Memorial Medical Center Inc is 1114120128. It was assigned to this organization in the NPPES registry on June 7, 2007. The provider is doing business as Memorial Healthcare Of Huntingburg.

Where is Deaconess Memorial Medical Center Inc located?

Deaconess Memorial Medical Center Inc is located at 507 E 19th Street, Huntingburg, IN 47542. The listed phone number is (812) 683-4717.

What is Deaconess Memorial Medical Center Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Does Deaconess Memorial Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1069557) is associated with this NPI, valid through October 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deaconess Memorial Medical Center Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Deaconess Memorial Medical Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deaconess Memorial Medical Center Inc was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.