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DEACONESS MEMORIAL MEDICAL CENTER INC
NPI 1174603153
Family Medicine in Dale, IN

Active since October 16, 2006CLIA 15D0988549 · Waiver
4 W VINE ST, DALE, IN 47523(812) 937-7140(812) 937-7145 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2026, Jul 17, 2018 (2 updates tracked since 2018).

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 1174603153), doing business as Dale Family Medicine, is a healthcare organization registered as a family medicine in Dale, Indiana and active in the NPI registry since October 2006. 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

NPI1174603153
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS MEMORIAL MEDICAL CENTER INC
Location Address4 W VINE STDale, IN 47523
Mailing AddressPo Box 1028Jasper, IN 47547-1028 · (812) 996-8478 · Fax (812) 996-8497
Phone(812) 937-7140
Fax(812) 937-7145
Organization SubpartYes
Authorized OfficialKeith MillerCao & Indiana Region President · (812) 996-0507
Enumeration DateOctober 16, 2006
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1174603153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

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.

Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
Also ListedNurse PractitionerTaxonomy 363L00000X
4 W VINE ST, Dale, IN 47523
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Other Names 1

Doing Business AsDale Family Medicine

Other Identifiers 2

OtherCB3118KY · Railroad Medicare
Medicaid200282080AIN

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 15D0988549

Deaconess Memorial Center Dale Family Medicine · Dale, IN
Active · expires Oct 8, 2027
CLIA Number15D0988549
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorAaron Blair
Laboratory Phone(812) 937-7140
Laboratory LocationDeaconess Memorial Center Dale Family Medicine4 West Vine Street, Dale, IN 47523
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STANLEY J TRETTER M.D.
Family Medicine
4 W VINE ST
DALE, IN 47523
Spencer County (812) 937-7140
MARIE BAYE MSN, RN, FNP-BC, CNL
Nurse Practitioner (Family)
4 W VINE ST
DALE, IN 47523
Spencer County (812) 937-7140
PAULA J JOCHIM FNP
Nurse Practitioner
4 W VINE ST
DALE, IN 47523
Spencer County (812) 937-7140
MICHAELA ANN TURNER PA-C
Physician Assistant
4 W VINE ST
DALE, IN 47523
Spencer County (812) 937-7140

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 1174603153. It was assigned to this organization in the NPPES registry on October 16, 2006. The provider is doing business as Dale Family Medicine.

Where is Deaconess Memorial Medical Center Inc located?

Deaconess Memorial Medical Center Inc is located at 4 W Vine St, Dale, IN 47523. The listed phone number is (812) 937-7140.

What is Deaconess Memorial Medical Center Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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

Yes. A Certificate of Waiver (number 15D0988549) 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, Anthem Blue Cross and Blue Shield and CareSource 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 March 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.