Organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Active
Parent organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Other names
Memorial Hospital and Health Care Center Neurology
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
721 W 13TH ST, SUITE 221, JASPER, IN 47546-1855
(812) 996-0564
(812) 996-0450
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200048850H
—
IN
01
—
CB3118
RAILROAD MEDICARE
IN
Enumeration date
10/25/2006
Last updated
08/27/2025
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