Organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Active
Parent organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Other names
Memorial Hospital & Health Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEACONESS MEMORIAL MEDICAL CENTER INC
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) 482-2345
(812) 482-0214
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 482-2345
(812) 482-0214
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050051021
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097731
BLUE CROSS SKILLED NSG
IN
05
—
100284870A
—
IN
01
—
BLACK LUNG
301557
IN
Enumeration date
01/11/2006
Last updated
08/27/2025
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