DEACONESS MEMORIAL MEDICAL CENTER INC
NPI 1104452200
Family Medicine in Jasper, IN

Active since March 20, 2020
695 W 2ND ST STE D, JASPER, IN 47546(812) 996-6330(812) 996-6331 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deaconess Memorial Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEACONESS MEMORIAL MEDICAL CENTER INC (NPI 1104452200), doing business as Alternative Screening Site, is a healthcare organization registered as a family medicine in Jasper, Indiana and active in the NPI registry since March 2020. The organization lists Keith Miller, Cao & Indiana Region President, as its authorized official.

NPPES Registry Identity

NPI1104452200
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS MEMORIAL MEDICAL CENTER INC
Location Address695 W 2ND ST STE DJasper, IN 47546-3240
Mailing Address800 W 9th StJasper, IN 47546-2514 · (812) 996-8478 · Fax (812) 996-8497
Fax(812) 996-6331
Organization SubpartYes
Authorized OfficialKeith MillerCao & Indiana Region President · (812) 996-0507
Enumeration DateMarch 20, 2020
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
NPI 1104452200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
695 W 2ND ST STE D, Jasper, IN 47546

Other Names 1

Doing Business AsAlternative Screening Site

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
695 W 2ND ST STE D
JASPER, IN 47546
Speech-Language Pathologist
695 W 2ND ST STE D
JASPER, IN 47546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deaconess Memorial Medical Center Inc's NPI number?

The NPI number for Deaconess Memorial Medical Center Inc is 1104452200. It was assigned to this organization in the NPPES registry on March 20, 2020. The provider is doing business as Alternative Screening Site.

Where is Deaconess Memorial Medical Center Inc located?

Deaconess Memorial Medical Center Inc is located at 695 W 2nd St Ste D, Jasper, IN 47546. The listed phone number is (812) 996-6330.

What is Deaconess Memorial Medical Center Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Deaconess Memorial Medical Center Inc accept?

Health plans from CareSource list Deaconess Memorial Medical Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deaconess Memorial Medical Center Inc was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.