Organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Active
Parent organization
DEACONESS MEMORIAL MEDICAL CENTER INC
Other names
Memorial Surgical Associates
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 STE 220, JASPER, IN 47546-1817
(812) 996-6580
(812) 996-6581
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-8478
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
08/27/2025
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