ST. JOSEPH PRIMARY CARE LLC NPI 1720176803

NPI Information

  • NPI: 1720176803
  • Provider Name: ST. JOSEPH PRIMARY CARE LLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: MED ONE TWO
  • Address: 3109 W SYCAMORE ST
    KOKOMO, IN
    ZIP 46901
  • Phone: (765) 457-8381

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NPI Details

ST. JOSEPH PRIMARY CARE LLC is an urgent care clinic center in Kokomo, IN. ST. JOSEPH PRIMARY CARE LLC NPI is 1720176803. The provider is registered as an organization entity type.
The provider Is Doing Business As Med One Two.

The provider's business location address is:

3109 W SYCAMORE ST
KOKOMO, IN
ZIP 46901-181
Phone: (765) 457-8381
Fax: (765) 457-4443

The provider's authorized official is Theresa L Oyler .
The authorized official title is Network Manager and has the following contact phone number (765) 457-8381.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/22/2020.

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
1261QU0200XClinic/CenterUrgent CareINDIANAYes

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: 11/21/2025

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