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General NPI Number Information
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NPI Number | 1255412342
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Entity Type | Organization
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Legal Business Name | ST JOSEPH'S REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 837 CEDAR ST PAVILLION 3 SUITE220
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City | SOUTH BEND
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State | IN
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Zip | 46617-2069
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Country | US
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Telephone | 574-237-7750
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Fax | 574-237-7742
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Provider Business Mailing Address
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Address Line | 837 E CEDAR ST. PAVILLION 3 SUITE220
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City | SOUTH BEND
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State | IN
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Zip | 46617-2814
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Country | US
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Telephone | 574-237-7750
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Fax | 574-237-7742
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Authorized Official
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Title or Position | CEO
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Name | MRS. NANCY - HELLYER
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Credential | RN
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Telephone | 574-237-7111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 01059937A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 01059937A
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License Number State | IN
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