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Contact Information

DEACONESS MEMORIAL MEDICAL CENTER INC
800 W 9TH STREET
JASPER, IN47546-2514
 Phone: 812-482-0643
 Fax: 812-482-0214
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DEACONESS MEMORIAL MEDICAL CENTER INC · (Female)

NPI # 1588778518
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2006
Last updated 03/31/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 200265980A
  • IN Other 301557 BLACK LUNG
  • IN Other 00000097730 BLUE CROSS PROF FEE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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