Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Deaconess Memorial Medical Center Inc

Organization Family Medicine Physician · NPI 1972877280

Deaconess Memorial Medical Center Inc provides Family Medicine Physician services in Leavenworth, Indiana. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6402 E Industrial Ln
Leavenworth, IN 47137-8316
Phone: (877) 291-6488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1972877280
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDeaconess Memorial Medical Center Inc
Authorized official Keith Miller — Cao & Indiana Region President · (812) 996-0507
Other names Crawford County Family Medicine
NPI enumeratedMarch 5, 2012
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing addressP O Box 1028, Jasper, IN 47547-1028

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