Organization · Type 2 NPI

Deaconess Memorial Medical Center Inc

Family Medicine Physician · Jasper, IN

NPI number 1003237173 Active

Practice location

695 W 2nd St, Suite A1
Jasper, IN 47546-3240

Call (812) 996-3550 Map

Fax (812) 996-3565

Mailing address

800 W 9th St
Jasper, IN 47546-2514

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Nurse Practitioner	363L00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8 other providers at this address

Other family medicine physician providers in Jasper

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NPI record

NPI: 1003237173
Entity type: Organization (Type 2)
Issued: Dec 17, 2013
Last updated: Aug 27, 2025
Status: Active
Subpart: Yes of Deaconess Memorial Medical Center Inc

Other names

<unavail>
Memorial Health Employer Services · doing business as

Authorized official

Keith Miller
Vice President & CFO
(812) 996-0507

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003237173

Deaconess Memorial Medical Center Inc's National Provider Identifier is 1003237173, issued on Dec 17, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Jasper, IN. The record was last updated on Aug 27, 2025.