DEACONESS MEMORIAL MEDICAL CENTER INC; NPI #1588778518

Contact Information

DEACONESS MEMORIAL MEDICAL CENTER INC

800 W 9TH STREET
JASPER, IN 47546-2514

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

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NPI Profile & details for DEACONESS MEMORIAL MEDICAL CENTER INC

NPI # 1588778518

LBN Legal business name DEACONESS MEMORIAL MEDICAL CENTER INC

Authorized official KEITH MILLER - (CAO & INDIANA REGION PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/18/2006

Last updated 03/31/2026 - About 2 months ago

Identifiers

IN	Medicaid	200265980A
IN	Other	301557	BLACK LUNG
IN	Other	00000097730	BLUE CROSS PROF FEE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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