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Deaconess Memorial Medical Center Inc

NPI 1003237173ActiveOrganization· Family Medicine· Jasper, IN

Family Medicine in Jasper, Indiana, registered in NPPES in December 2013, part of Deaconess Memorial Medical Center Inc. The authorized official on file is Keith Miller, Vice President & Cfo.

Overview

NPI1003237173
StatusActive
Entity typeOrganization (subpart)
Parent organizationDeaconess Memorial Medical Center Inc
NPI issuedDec 17, 2013
Last updated in NPPESAug 27, 2025
Certified by providerAug 27, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——
Nurse Practitioner363L00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Jasper

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