Organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Active
Parent organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Other names
Memorial Hospital and Health Care Center Memorial Family Care
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
1025 1ST AVE W, JASPER, IN 47546-3217
(812) 996-8460
(812) 996-8465
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200048850G
—
IN
01
—
CB3118
RAILROAD MEDICARE
IN
Enumeration date
08/29/2006
Last updated
08/27/2025
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