ST JOE REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC (NPI# 1922213768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922213768 |
| Entity Type | Organization |
| Organization Name | ST JOE REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC |
| Other Organization Name | ST JOE REGIONAL MEDICAL CENTER |
| Practice Address |
801 E Lasalle Ave South Bend IN 46617-2814 |
| Practice Telephone | 2192377111 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | CAROL LINDAUER (DIRECTOR OF PATIENT ACCOUNTS) |
| Authorized Official Telephone | 5176694140 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | ========= | MI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5172554 | 05 |
| Other Name | Type Code |
|---|---|
| St Joe Regional Medical Center | Doing Business As Name - Organization |
| Street Address |
801 E LASALLE AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114901600 | Lisa Ribble I | Pharmacist | 801 E Lasalle Ave, South Bend, IN 46617-2814 | 2005-11-30 |
| 1023275450 | Jennifer Marie Maskulinski | Speech-Language Pathologist | 801 E Lasalle Ave, South Bend, IN 46617-2814 | 2008-05-22 |
| 1023225398 | Allison R Tucker | Pharmacist | 801 E Lasalle Ave, South Bend, IN 46617-2814 | 2007-05-17 |
| 1235283490 | Danniel Lee Cline | Pharmacist | 801 E Lasalle Ave, South Bend, IN 46617-2814 | 2007-01-23 |
| 1083764096 | Miriam Mckiernan Tribbett | Physical Therapist | 801 E Lasalle Ave, South Bend, IN 46617 | 2007-01-11 |
| 1518020676 | Nathaniel Douglas Sagarsee | Pharmacist | 801 E Lasalle Ave, South Bend, IN 46617-2814 | 2006-12-19 |
| 1558448035 | Gwen Marie Ehlers | Dietitian, Registered | 801 E Lasalle Ave, South Bend, IN 46617-2814 | 2006-11-01 |
| 1962589440 | Laura Ann Ipe | Dietitian, Registered | 801 E Lasalle Ave, South Bend, IN 46617-2814 | 2006-11-01 |
| 1801803531 | Zahia M Hassan | Pediatrics | 801 E Lasalle Ave, Deborah Lawson Clinical Education, South Bend, IN 46617-2814 | 2006-08-02 |
| 1548203128 | Albert P Tomchaney | Family Medicine | 801 E Lasalle Ave, South Bend, IN 46617-2814 | 2006-06-13 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1134534456 | Memorial Hospital of South Bend, Inc | General Acute Care Hospital | 403 E Madison St, South Bend, IN 46617-2322 | 2014-06-25 |
| 1679521306 | Our Lady of Peace Hospital Inc | General Acute Care Hospital | 801 E Lasalle Ave, South Bend, IN 46617-2814 | 2006-05-05 |
| 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 | SOUTH BEND |
| Zip Code | 46617 |
Please comment or provide details below to improve the information on ST JOE REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC.
| 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.