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 1417499674

Deaconess Memorial Medical Center Inc provides Family Medicine Physician services in Jasper, Indiana. Registered with an NPI since 2016.

In the registry since
2016
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

1950 Saint Charles St Ste 5
Jasper, IN 47546-9172
Phone: (812) 996-6050
Fax: (812) 996-6051
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 number1417499674
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 Memorial Health St. Charles
NPI enumeratedNovember 4, 2016
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address800 W 9th St, Jasper, IN 47546-2514

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