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General NPI Number Information
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NPI Number | 1023844693
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Entity Type | Organization
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Legal Business Name | SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 234 CHAPIN ST STE I
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City | SOUTH BEND
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State | IN
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Zip | 46601-2571
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Country | US
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Telephone | 574-274-4552
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Fax | 574-335-0660
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Provider Business Mailing Address
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Address Line | 5215 HOLY CROSS PKWY
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City | MISHAWAKA
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State | IN
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Zip | 46545-1469
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Country | US
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Telephone | 574-335-8707
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Fax | 574-335-0741
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Authorized Official
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Title or Position | RHM PRESIDENT
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Name | CHRISTOPHER JAMES KARAM
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Credential |
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Telephone | 575-335-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2471M2300X
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Taxonomy Name | Mammography Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 364SC1501X
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Taxonomy Name | Community Health/Public Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QR0207X
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Taxonomy Name | Mobile Mammography Clinic/Center
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License Number |
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License Number State |
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