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DEACONESS MEDICAL GROUP - PETERSBURG
NPI 1710098405
Clinic/Center - Rural Health in Petersburg, IN

Active since August 31, 2006
106 W PIKE AVE, PETERSBURG, IN 47567(812) 354-1052(812) 354-8280 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Deaconess Medical Group - Petersburg NPPES

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

DEACONESS MEDICAL GROUP - PETERSBURG (NPI 1710098405) is a healthcare organization registered as a rural health in Petersburg, Indiana and active in the NPI registry since August 2006. The organization lists Richard M Stivers, Sr Vice President, Cfo, as its authorized official.

NPPES Registry Identity

NPI1710098405
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDEACONESS HOSPITAL, INC
Location Address106 W PIKE AVEPetersburg, IN 47567-8750
Mailing AddressPo Box 3407Evansville, IN 47733-3407 · (812) 450-6815 · Fax (812) 450-6822
Phone(812) 354-1052
Fax(812) 354-8280
Organization SubpartNo
Authorized OfficialRichard M StiversSr Vice President, Cfo · (812) 450-3296
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 2, 2008
✔ NPI 1710098405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
106 W PIKE AVE, Petersburg, IN 47567
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Other Names 1

Doing Business AsDeaconess Medical Group - Petersburg

Other Identifiers 6

Medicare PINCG1119IN
OtherCG1119IN · Rr Mcare Group #
Other153843IN · Rural Health #
Medicare ID-Type Unspecified640440IN · Mcare Group #
Medicare PIN153843IN
Medicare OSCAR/certification153843IN

Other Providers at the Same Location NPPES 5

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

GARY J KEEPES M.D.
Family Medicine
106 W PIKE AVE
PETERSBURG, IN 47567
Pike County (812) 354-1052
NATHANIAL D GROW M.D.
Family Medicine
106 W PIKE AVE
PETERSBURG, IN 47567
Pike County (812) 354-1052
TONI M MARTIN N.P.
Nurse Practitioner
106 W PIKE AVE
PETERSBURG, IN 47567
Pike County (812) 354-1052
DEACONESS CLINIC, INC
Clinic/Center (Rural Health)
106 W PIKE AVE
PETERSBURG, IN 47567
Pike County (812) 354-1052
ALEXANDRIA JO CARIE-KROEGER NP
Nurse Practitioner
106 W PIKE AVE
PETERSBURG, IN 47567
Pike County (812) 354-1052

Frequently Asked Questions

What is DEACONESS HOSPITAL, INC's NPI number?

The NPI number assigned to this healthcare provider is 1710098405, enumerated as an "organization" on August 31, 2006.

Where is the provider located?

The provider is located at 106 W PIKE AVE PETERSBURG, IN 47567 and the phone number is (812) 354-1052.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

What insurance does DEACONESS HOSPITAL, INC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.