Organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Active
Parent organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Other names
Memorial Hospital and Health Care Center Oncology
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 122, JASPER, IN 47546-1855
(812) 482-0626
(812) 482-0650
Mailing address
PO BOX 1028, JASPER, IN 47547-1028
(812) 481-8483
(812) 481-8497
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200048850N
—
IN
01
—
CB1118
RAILROAD MEDICARE
IN
Enumeration date
11/02/2006
Last updated
08/27/2025
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