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Deaconess Memorial Medical Center Inc — NPI 1225080963, Jasper, IN | NPI Central

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OrganizationActive

Deaconess Memorial Medical Center Inc

NPI 1225080963 · Community/Retail Pharmacy · Jasper, IN

Provider details

NPI number: 1225080963
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Keith Miller, Cao & Indiana Region President(812) 996-0507
License: 050051021 (IN)

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003X
Suppliers
Institutional Pharmacy3336I0012XLicense 050051021 (IN)
Suppliers
Pharmacy333600000X
Suppliers

Practice location

800 W. 9th St

Jasper, IN 47546-2514

Phone: (812) 996-0643

Fax: (812) 996-0214

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

800 W 9th St

Jasper, IN 47546-2514

Other names (DBA / former)

Doing business as: Deaconess Family Pharmacy Memorial
Doing business as: Memorial Hospital and Health Care Center

Registry dates

Enumerated: 2006-05-17
Last updated: 2026-05-15
Certified: 2026-05-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.