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Organization

DEACONESS MEMORIAL MEDICAL CENTER INC

Active
Parent organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Other names
Memorial Health Employer Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
DEACONESS MEMORIAL MEDICAL CENTER INC
Authorized official
KEITH MILLER (VICE PRESIDENT & CFO)
(812) 996-0507
Entity
Organization

Contact information

Practice address
695 W 2ND ST, SUITE A1, JASPER, IN 47546-3240
(812) 996-3550
(812) 996-3565
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-1088

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
12/17/2013
Last updated
08/27/2025
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