Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deaconess Memorial Medical Center Inc

Organization Family Medicine Physician · NPI 1104452200

Deaconess Memorial Medical Center Inc is a Family Medicine Physician in Jasper, Indiana. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

695 W 2nd St Ste D
Jasper, IN 47546-3240
Phone: (812) 996-6330
Fax: (812) 996-6331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1104452200
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDeaconess Memorial Medical Center Inc
Authorized official Keith Miller — Cao & Indiana Region President · (812) 996-0507
Other names Alternative Screening Site; Alternative Screening Site
NPI enumeratedMarch 20, 2020
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address800 W 9th St, Jasper, IN 47546-2514

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