Healthcare Provider Details

I. General information

NPI: 1285558312
Provider Name (Legal Business Name): SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 E DOUGLAS RD STE 300
MISHAWAKA IN
46545-1467
US

IV. Provider business mailing address

611 E DOUGLAS RD STE 300
MISHAWAKA IN
46545-1467
US

V. Phone/Fax

Practice location:
  • Phone: 574-335-6250
  • Fax:
Mailing address:
  • Phone: 574-335-6270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER JAMES KARAM
Title or Position: PRESIDENT
Credential:
Phone: 575-335-5000