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General NPI Number Information
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NPI Number | 1396154324
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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 | 08/04/2014
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 234 CHAPIN ST STE I (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 | 574-335-8250
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Fax |
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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 | PRESIDENT
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Name | CHRISTOPHER JAMES KARAM
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Credential |
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Telephone | 574-335-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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