ST. JOSEPH PRIMARY CARE LLC NPI 1982736377

NPI Information

NPI: 1982736377
Provider Name: ST. JOSEPH PRIMARY CARE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Doing Business As: ASCENSION ST. VINCENT KOKOMO SERVICES
Address: 1907 W SYCAMORE ST
KOKOMO, IN
ZIP 46901
Phone: (765) 456-5433

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NPI Details

ST. JOSEPH PRIMARY CARE, LLC is a family medicine in Kokomo, IN. The provider is 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. ST. JOSEPH PRIMARY CARE, LLC NPI is 1982736377. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ascension St. Vincent Kokomo Services.

The provider's business location address is:

1907 W SYCAMORE ST
KOKOMO, IN
ZIP 46901-148
Phone: (765) 456-5433

The provider's authorized official is Brian Morris .
The authorized official title is Cfo (amg) and has the following contact phone number (317) 338-6234.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 2/20/2024.

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	207R00000X	Internal Medicine				No
2	207RG0100X	Internal Medicine	Gastroenterology			No
3	207RI0008X	Internal Medicine	Hepatology			No
4	208000000X	Pediatrics				No
5	2080A0000X	Pediatrics	Adolescent Medicine			No
6	261QU0200X	Clinic/Center	Urgent Care		INDIANA	No
7	207Q00000X	Family Medicine		742949291	INDIANA	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	200312000	MEDICAID	INDIANA
2	000000183506	OTHER	INDIANA	BLUE CROSS BLUE SHIELD

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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