ST JOSEPH'S REGIONAL MEDICAL CENTER (NPI# 1255412342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255412342 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH'S REGIONAL MEDICAL CENTER |
| Other Organization Name | MATERNAL FETAL MEDICINE |
| Practice Address |
837 Cedar St Pavillion 3 Suite220 South Bend IN 46617-2069 |
| Mailing Address |
837 E Cedar St. Pavillion 3 Suite220 South Bend IN 46617-2814 |
| Practice Telephone | 5742377750 |
| Practice Fax Number | 5742377742 |
| Mailing Telephone | 5742377750 |
| Mailing Fax Number | 5742377742 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. NANCY - HELLYER (CEO) |
| Authorized Official Telephone | 5742377111 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261Q00000X | Clinic/Center | 01059937A | IN | Ambulatory Health Care Facilities |
| X | 282N00000X | General Acute Care Hospital | 01059937A | IN | Hospitals |
| Other Name | Type Code |
|---|---|
| Maternal Fetal Medicine | Doing Business As Name - Organization |
| Street Address |
837 CEDAR ST PAVILLION 3 SUITE220 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699767152 | Edward P. Sheridan | Pharmacist | 837 Cedar St, Suite 125, South Bend, IN 46617-2069 | 2005-08-19 |
| 1336224781 | Dominic Vachon | Psychologist | 837 Cedar St, Ste 100, South Bend, IN 46617-2069 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497306310 | Activate Healthcare - Ibew Local 153/ua Local 172 South Bend | Clinic/Center | 3371 W Cleveland Road Ext Ste 120, South Bend, IN 46628-9780 | 2019-09-23 |
| 1962914119 | Whole Woman's Health Alliance | Clinic/Center | 3511 Lincoln Way W, South Bend, IN 46628-1411 | 2017-10-27 |
| 1851742928 | The Center for The Homeless, Inc | Clinic/Center | 813 S Michigan St, South Bend, IN 46601-3102 | 2016-06-29 |
| 1710954102 | Mercedes Del Carmen Moran | Clinic/Center | 621 Memorial Dr, Ste 403, South Bend, IN 46601-1063 | 2006-03-03 |
| 1063419026 | Mcdonald Physical Therapy | Clinic/Center | 1005 N Hickory Rd, South Bend, IN 46615-3723 | 2005-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679170 | Gentlemind Health Services | Clinic/Center | 3635 Lake Ave, Fort Wayne, IN 46805-5539 | 2020-11-02 |
| 1063021129 | Affordable Lab Solutions | Clinic/Center | 1121 16th St, Bedford, IN 47421-3721 | 2020-07-24 |
| 1568071710 | Ivx Health of Indiana PC | Clinic/Center | 9510 N Meridian St Ste D, Indianapolis, IN 46260-1333 | 2020-07-23 |
| 1346867942 | Henry County Memorial Hospital | Clinic/Center | 4760 National Rd W, Richmond, IN 47374-4745 | 2020-06-30 |
| 1114541935 | Ourhealth Physicians Group, LLC | Clinic/Center | 9998 N Michigan Rd, Carmel, IN 46032-9640 | 2020-06-08 |
| 1366076564 | Sullivan County Community Hospital | Clinic/Center | 4146 S 7th St Ste B, Terre Haute, IN 47802-4123 | 2020-02-26 |
| 1437707601 | Nuyou Therapies, LLC | Clinic/Center | 5401 Vogel Rd Ste 740, Evansville, IN 47715-7834 | 2019-08-29 |
| 1306492160 | Deaconess Clinic, Inc. | Clinic/Center | 315 N 1st Ave, Evansville, IN 47710-1218 | 2019-08-16 |
| 1750941902 | Unity Healthcare LLC | Clinic/Center | 1345 Unity Pl Ste 220, Lafayette, IN 47905-5761 | 2019-06-19 |
| 1538622899 | Transitions Recovery, LLC | Clinic/Center | 2406 G St, Bedford, IN 47421-5120 | 2019-04-12 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
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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.