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Contact Information

DEACONESS MEMORIAL MEDICAL CENTER INC
721 W 13TH ST
SUITE 101
JASPER, IN47546-1855
 Phone: 812-481-5780
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DEACONESS MEMORIAL MEDICAL CENTER INC

NPI Number 1861420689
LBN Legal business name DEACONESS MEMORIAL MEDICAL CENTER INC
Authorized official KEITH MILLER - (CAO & INDIANA REGION PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/29/2006
Last updated 08/27/2025 - About 9 months ago
Identifiers
IN Medicaid 200048850C
IN Other CB3118 RAILROAD MEDICARE
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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