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Organization

DEACONESS MEMORIAL MEDICAL CENTER INC

Active
Parent organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Other names
Memorial Hospital and Health Care 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 225, JASPER, IN 47546-1855
(812) 996-7388
(812) 996-0150
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200048850Y
IN
Enumeration date
03/11/2010
Last updated
08/27/2025
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