Organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Active
Other names
Memorial Hospital and 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) 996-0643
(812) 996-0214
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-2345
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
050051021
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100455320A
—
IN
01
—
376442
BLUE CROSS RESP DME
IN
Enumeration date
05/17/2006
Last updated
12/11/2025
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