Healthcare Provider Details

I. General information

NPI: 1295654259
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: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 E DOUGLAS RD STE 104
MISHAWAKA IN
46545-1480
US

IV. Provider business mailing address

611 E DOUGLAS RD STE 104
MISHAWAKA IN
46545-1480
US

V. Phone/Fax

Practice location:
  • Phone: 574-335-3400
  • Fax: 574-335-0861
Mailing address:
  • Phone: 574-335-3400
  • Fax: 574-335-0861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER JAMES KARAM
Title or Position: PRESIDENT
Credential:
Phone: 575-335-2340