DEACONESS MEMORIAL MEDICAL CENTER INC – NPI #1346451465
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

DEACONESS MEMORIAL MEDICAL CENTER INC is a provider located in JASPER, IN. NPPES has assigned the NPI number 1346451465 to DEACONESS MEMORIAL MEDICAL CENTER INC on May 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Aug 27, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEACONESS MEMORIAL MEDICAL CENTER INC below.

NPI Profile for
DEACONESS MEMORIAL MEDICAL CENTER INC

NPI Number
1346451465
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEACONESS MEMORIAL MEDICAL CENTER INC
Primary location
721 W 13TH ST
SUITE 321
JASPER, IN 47546-1855
Phone: (812) 996-7918 Fax: (812) 996-1644
Mailing address
PO BOX 150
JASPER, IN 47547-0150
Phone: (812) 996-7918 Fax: (812) 996-1644
Organization Subpart
Yes - DEACONESS MEMORIAL MEDICAL CENTER INC is subpart of another organization.
Authorized Official
KEITH MILLER
CAO & INDIANA REGION PRESIDENT
Phone: (812) 996-0507
Updated
Certification Date
Aug 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DEACONESS MEMORIAL MEDICAL CENTER INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidIN200048850P
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
IN 01038423A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.