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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: August 16, 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.

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

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 Hospital, Inc's NPI number?

The NPI number for Deaconess Hospital, Inc is 1710098405. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Deaconess Medical Group - Petersburg.

Where is Deaconess Hospital, Inc located?

Deaconess Hospital, Inc is located at 106 W Pike Ave, Petersburg, IN 47567. The listed phone number is (812) 354-1052.

What is Deaconess Hospital, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Deaconess Hospital, Inc was last updated on January 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.