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General NPI Number Information
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NPI Number | 1841245594
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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 | 05/23/2006
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Last Update Date | 06/02/2025
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Provider Practice Location 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 | 574-335-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 5215 HOLY CROSS PARKWAY SAINT JOSEPH HEALTH SYSTEM PROVIDER SERVICES
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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 | MR. 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 | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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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 | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy 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 | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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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 | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 06-005012-2
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License Number State | IN
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