# DEACONESS MEMORIAL MEDICAL CENTER INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEACONESS MEMORIAL MEDICAL CENTER INC
- **Other names:** Memorial Urology Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821353814
- **Legal business name:** DEACONESS MEMORIAL MEDICAL CENTER INC
- **Authorized official:** KEITH MILLER (CAO & INDIANA REGION PRESIDENT)
- **Authorized official phone:** (812) 996-0507

## Contact information

- **Practice address:** 600 W 13TH STREET, SUITE 105, JASPER, IN 47546-1882
- **Practice address phone:** (812) 996-5850
- **Practice address fax:** (812) 996-5874
- **Mailing address:** 800 W 9TH ST, JASPER, IN 47546-2514
- **Mailing address phone:** (812) 996-8478
- **Mailing address fax:** (812) 996-8497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2012
- **Last updated:** 08/27/2025