Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Deaconess Memorial Medical Center Inc

Organization Family Medicine Physician · NPI 1104452200

Deaconess Memorial Medical Center Inc provides Family Medicine Physician services 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
Show map & directions

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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