Organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Active
Parent organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Other names
JASPER PEDIATRICS OF MEMORIAL HOSPITAL AND HEALTHCARE CENTER
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 321, JASPER, IN 47546-1855
(812) 996-7918
(812) 996-1644
Mailing address
PO BOX 150, JASPER, IN 47547-0150
(812) 996-7918
(812) 996-1644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01038423A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200048850P
—
IN
Enumeration date
05/24/2007
Last updated
08/27/2025
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