ST. JOSEPH HEALTH SYSTEM, LLC (NPI# 1023060472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023060472 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH HEALTH SYSTEM, LLC |
| Other Organization Name | ST. JOSEPH HOSPITAL |
| Practice Address |
700 Broadway Fort Wayne IN 46802-1402 |
| Mailing Address |
15819 Collection Center Dr Chicago IL 60693-0158 |
| Practice Telephone | 2604253000 |
| Practice Fax Number | 2604253222 |
| Mailing Telephone | 2604253000 |
| Mailing Fax Number | 2604253222 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 05-005043-1 | IN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100268500A | 05 |
| Other Name | Type Code |
|---|---|
| St. Joseph Hospital | Doing Business As Name - Organization |
| Street Address |
700 BROADWAY |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46802-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825140 | Select Specialty Hospital - Fort Wayne Inc | Long Term Care Hospital | 700 Broadway, 7th Fl East, Fort Wayne, IN 46802-1402 | 2005-07-20 |
| 1598395238 | Werner R Wolff | Nurse Practitioner | 700 Broadway, Fort Wayne, IN 46802-1402 | 2020-01-22 |
| 1477114312 | Mandy Onguta | Nurse Practitioner | 700 Broadway, Fort Wayne, IN 46802-1402 | 2019-06-21 |
| 1609386416 | Kelly Marie Snyder | Occupational Therapy Assistant | 700 Broadway, Fort Wayne, IN 46802-1402 | 2017-10-06 |
| 1851759922 | Faysal Massarweh | Internal Medicine | 700 Broadway, Fort Wayne, IN 46802-1402 | 2016-02-04 |
| 1689041451 | Christine Montanaro | Registered Nurse | 700 Broadway, Fort Wayne, IN 46802-1402 | 2015-08-28 |
| 1265825178 | Mary Bullis | Nurse Practitioner | 700 Broadway, Fort Wayne, IN 46802-1402 | 2015-03-17 |
| 1366883068 | Niroshan Kirupananthan | Internal Medicine | 700 Broadway, Fort Wayne, IN 46802-1402 | 2013-07-10 |
| 1548552375 | Musa Abdalla | Family Medicine | 700 Broadway, Fort Wayne, IN 46802-1402 | 2011-05-12 |
| 1366754616 | Darnell J Brown | Surgery | 700 Broadway, Fort Wayne, IN 46802-1402 | 2010-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084416 | Renaissance Counseling Center,llc | Community/Behavioral Health | 1210 Guthrie St, Fort Wayne, IN 46802 | 2020-05-14 |
| 1699260182 | Tina Huffman Counseling Services LLC | Clinic/Center | 2323 111 W. Berry St., Fort Wayne, IN 46802 | 2018-06-27 |
| 1669879664 | Neighborhood Health Clinics, Inc | Clinic/Center | 1721 S Calhoun St, Fort Wayne, IN 46802 | 2014-11-20 |
| 1205272168 | Tyler Jerome Kimmel | Dentist | 1717 S. Calhoun Street, Fort Wayne, IN 46802 | 2013-05-20 |
| 1174899405 | Hearcare Connection, Inc. | Audiologist | 130 W Main St Ste 150, Fort Wayne, IN 46802 | 2012-03-30 |
| 1801114533 | Hoosier Sports & Chiropractic LLC | Chiropractor | 122 W Wayne Street, Fort Wayne, IN 46802 | 2010-05-05 |
| 1891912523 | Krista Lohmar | Speech-Language Pathologist | 3340 North Washington Road, Ft. Wayne, IL 46802 | 2007-04-20 |
| 1811047608 | Catholic Charities of The Diocese of Fort Wayne-south Bend, Inc. | Counselor | 915 South Clinton, Fort Wayne, IN 46802 | 2007-01-12 |
| 1548323801 | Clifford T Salk | Dentist | 122 W Washington Blvd, Fort Wayne, IN 46802 | 2006-12-18 |
| 1720155492 | Kristina Wise | Social Worker | 203 W Wayne St Ste 317, Fort Wayne, IN 46802 | 2006-11-29 |
| Find all providers in zip 46802 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174706576 | Lutheran Musculoskeletal Center LLC | General Acute Care Hospital | 7952 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-12-10 |
| 1538110556 | Dupont Hospital LLC | General Acute Care Hospital | 2520 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2006-05-15 |
| 1699078931 | Department of Veteran Affairs | General Acute Care Hospital | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2010-12-08 |
| 1962722991 | Lutheran Health Network | General Acute Care Hospital | 700 Broadway, Fort Wayne, IN 46802-1402 | 2010-06-01 |
| 1477798361 | Parkview Hospital | General Acute Care Hospital | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2008-12-08 |
| 1568664613 | Orthopaedic Hospital At Parkview North, LLC | General Acute Care Hospital | 11130 Parkview Circle Dr, Fort Wayne, IN 46845-1735 | 2007-06-01 |
| 1689784225 | Parkview Hospital | General Acute Care Hospital | 1600 E Washington Blvd, Fort Wayne, IN 46803-1228 | 2006-08-30 |
| 1568411791 | Marion Vamc | General Acute Care Hospital | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2006-05-06 |
| 1366407603 | Parkview Hospital, Inc. | General Acute Care Hospital | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750924403 | Franciscan Beacon Hospital, LLC | General Acute Care Hospital | 1010 W State Road 2, La Porte, IN 46350-5465 | 2019-10-25 |
| 1174183024 | Northwest Indiana Hospital, LLC | General Acute Care Hospital | 7904 Cabela Dr., Hammond, IN 46324 | 2019-06-13 |
| 1881177756 | Memorial Hospital of South Bend | General Acute Care Hospital | 3220 Beacon Parkway, Granger, IN 46530 | 2018-09-07 |
| 1417482092 | Bloomington Hosptial | General Acute Care Hospital | 3630 S Mcdougal St, Bloomington, IN 47403-4675 | 2017-04-20 |
| 1851833230 | St. Vincent Hospital & Health Care Center, Inc. | General Acute Care Hospital | 9613 E Us Highway 36, Avon, IN 46123-7978 | 2016-11-16 |
| 1306291265 | Teal Murphy | General Acute Care Hospital | 10701 S 400 W, Columbus, IN 47201-9339 | 2016-04-28 |
| 1497119242 | Iu Health | General Acute Care Hospital | 5707 Brockton Dr Apt 307, Indianapolis, IN 46220-5481 | 2016-04-07 |
| 1487016549 | Johnson Memorial Hospital | General Acute Care Hospital | 214 Crenshaw Dr, Saint Paul, IN 47272-9435 | 2016-03-27 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1740686443 | Prime Healthcare Services - Monroe LLC | General Acute Care Hospital | 4011 S Monroe Med Park Blvd, Bloomington, IN 47403-8000 | 2014-11-07 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46802 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.