SAINT JOSEPH COMMUNITY HOSPITAL OF MISHAWAKA INC. NPI 1235202573

NPI Information

NPI: 1235202573
Provider Name: SAINT JOSEPH COMMUNITY HOSPITAL OF MISHAWAKA, INC.

Doing Business As: HEALTHY FAMILY CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
201 LINCOLN WAY W
MISHAWAKA, IN
ZIP 46544
Phone: (574) 252-3699
Get Directions

SAINT JOSEPH COMMUNITY HOSPITAL OF MISHAWAKA, INC. is a multi-specialty clinic center in Mishawaka, IN. SAINT JOSEPH COMMUNITY HOSPITAL OF MISHAWAKA, INC. NPI is 1235202573. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthy Family Center.

The provider's business location address is:

201 LINCOLN WAY W
MISHAWAKA, IN
ZIP 46544-905
Phone: (574) 252-3699
Fax: (574) 252-3698

The provider's authorized official is Lori Price .
The authorized official title is President and has the following contact phone number (574) 252-3699.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 7/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100467030A	MEDICAID	INDIANA
2	168060	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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