Organization
DEACONESS MEMORIAL MEDICAL CENTER, INC.
Active
Other names
Memorial Nephrology
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH MILLER (CAO - INDIANA REGION PRESIDENT)
(812) 996-0507
Entity
Organization
Contact information
Practice address
721 W 13TH ST STE 225, JASPER, IN 47546-1817
(812) 996-7388
(812) 996-5933
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-1088
(812) 996-8497
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/20/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up