Organization
DEACONESS MEMORIAL MEDICAL CENTER
Active
Other names
Memorial Hospital & Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH MILLER (CAO & INDIANA REGION PRESIDENT)
(812) 996-0507
Entity
Organization
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-2345
(812) 996-0214
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-2345
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
050059901
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097729
BLUE CROSS HOME CARE
IN
05
—
100265600A
—
IN
05
—
100284880A
—
IN
Enumeration date
01/11/2006
Last updated
12/11/2025
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