NPI 1104452200
Deaconess Memorial Medical Center INC
Practice location
- Address
- 695 W 2nd St STE D, Jasper, IN 47546-3240
- Phone
- (812) 996-6330
- Fax
- (812) 996-6331
- Mailing address
- 800 W 9th St, Jasper, IN 47546-2514
Authorised official
- Name
- Keith Miller
- Title
- Cao & Indiana Region President
- Phone
- (812) 996-0507
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1104452200
- Entity type
- Organization
- NPI issued
- 20 Mar 2020
- Record last updated
- 27 Aug 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.