SAINT JOSEPH REGIONAL MEDICAL CENTER INC. NPI 1255369500

NPI Information

NPI: 1255369500
Provider Name: SAINT JOSEPH REGIONAL MEDICAL CENTER, INC.

Doing Business As: SAINT JOSEPH REGIONAL MEDICAL CENTER INFUSION PHARMACY

Classification: Home Infusion - 251F00000X
Entity Type: Organization
Address:
5215 HOLY CROSS PKWY
MISHAWAKA, IN
ZIP 46545
Phone: (574) 335-4240
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SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. is a home infusion in Mishawaka, IN. SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. NPI is 1255369500. The provider is registered as an organization entity type.
The provider Is Doing Business As Saint Joseph Regional Medical Center Infusion Pharmacy.

The provider's business location address is:

5215 HOLY CROSS PKWY
MISHAWAKA, IN
ZIP 46545-469
Phone: (574) 335-4240
Fax: (574) 335-0811

The provider's authorized official is Christopher James Karam .
The authorized official title is President and has the following contact phone number (575) 335-2340.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 2/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251F00000X	Home Infusion				No
2	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy			No
3	251F00000X	Home Infusion		60005874A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100272280A	MEDICAID	INDIANA
2	134866	OTHER	INDIANA	CSHCS
3	000000356289	OTHER	INDIANA	ANTHEM BLUE CROSS BLUE S

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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