Deaconess Memorial Medical Center INC

NPI #1003237173 in Jasper, Indiana

Provider Information

NPI Number: 1003237173
Entity Type: Organization
Organization Name: Deaconess Memorial Medical Center INC
Subpart: Yes (part of a larger organization)
Parent Organization: DEACONESS MEMORIAL MEDICAL CENTER INC
Primary Specialty: Family Medicine
Enumeration Date: Dec 17, 2013
Last Updated: Aug 27, 2025

Practice Location

Address: 695 W 2ND ST
Address 2: SUITE A1
City: Jasper
State: Indiana
ZIP Code: 47546-3240
Phone: (812) 996-3550

Authorized Official

Name: KEITH MILLER
Title: VICE PRESIDENT & CFO
Phone: (812) 996-0507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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