DEACONESS MEMORIAL MEDICAL CENTER INC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

DEACONESS MEMORIAL MEDICAL CENTER INC

800 W. 9TH ST
JASPER, IN 47546-2514

Phone: 812-996-0643
Fax: 812-996-0214
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Institutional Pharmacy	3336I0012X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for DEACONESS MEMORIAL MEDICAL CENTER INC

NPI # 1225080963

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 05/17/2006

Last updated 05/15/2026 - About 3 weeks ago

Identifiers

IN	License #	050051021
IN	Medicaid	100455320

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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