Organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Active
Parent organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Other names
Alternative Screening Site
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEACONESS MEMORIAL MEDICAL CENTER INC
Authorized official
KEITH MILLER (CAO & INDIANA REGION PRESIDENT)
(812) 996-0507
Entity
Organization
Contact information
Practice address
695 W 2ND ST STE D, JASPER, IN 47546-3240
(812) 996-6330
(812) 996-6331
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-8478
(812) 996-8497
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
08/27/2025
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