SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC


Address: 5215 Holy Cross Parkway, Mishawaka, IN 46545-1469
Phone: 5743355000

SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC (NPI# 1699132365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699132365
Entity Type Organization
Organization Name SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC
Practice Address 5215 Holy Cross Parkway
Mishawaka
IN 46545-1469
Mailing Address 707 E Cedar St, Ste 200
South Bend
IN 46617-2057
Practice Telephone 5743355000
Practice Fax Number 5743351011
Mailing Telephone 5743358700
Mailing Fax Number 5743350760
Enumeration Date 2016-01-26
Last Update Date 2020-04-24
Authorized Official Name CLIFFORD MARTIN (EXECUTIVE MEDICAL DIRECTOR)
Authorized Official Telephone 5743358751
Is Organization Subpart Y
Parent Organization Name SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
N 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist Allopathic & Osteopathic Physicians
N 363LN0000X Nurse Practitioner
Specialization: Neonatal
Physician Assistants & Advanced Practice Nursing Providers
N 364S00000X Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers
Y 282N00000X General Acute Care Hospital Hospitals

Provider Secondary Practice Location

Address Telephone Number Fax Number
60205 Bodnar Blvd, Mishawaka, IN 465449342 5743355000

Office Location

Street Address 5215 HOLY CROSS PARKWAY
City MISHAWAKA
State IN
Zip Code 46545-1469

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356345797 Thomas P Varied Internal Medicine 5215 Holy Cross Parkway, Mishawaka, IN 46545-1469 2005-06-13
1699933499 Steven M Mezsick Anesthesiology 5215 Holy Cross Parkway, Mishawaka, IN 46545-1469 2008-05-28
1740454305 Jacqueline J. Mokfi Internal Medicine 5215 Holy Cross Parkway, Mishawaka, IL 46545 2008-04-15
1982804357 Kathryn P Lambourne Anesthesiology 5215 Holy Cross Parkway, St. Joseph Regional Medical Center - Anesthesia Dept, Mishawaka, IN 53792-0001 2007-07-23
1255535779 Matous Pradny Internal Medicine 5215 Holy Cross Parkway, Mishawaka, IN 46545-1469 2007-06-11
1124159843 Jialin Bao Anesthesiology 5215 Holy Cross Parkway, Anesthesia Department, Mishawaka, IN 46545-1469 2007-03-07
1326062746 Franklin Moncrief Dobson Pediatrics 5215 Holy Cross Parkway, Mishawaka, IN 46545-1469 2006-07-27
1992731905 Michael James Phend Internal Medicine 5215 Holy Cross Parkway, Mishawaka, IN 46545-1469 2006-06-23
1740222603 Eric Tripp Family Medicine 5215 Holy Cross Parkway, Mishawaka, IN 46545 2006-06-12
1982641197 John N Porter Anesthesiology 5215 Holy Cross Parkway, Mishawaka, IN 46545-1469 2006-05-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649824103 Senior Helpers In Home Supportive Care 230 Catalpa Drive Suite B, Mishawaka, IN 46545 2019-08-01
1093272114 Candice Marie Greathouse Physical Therapy Assistant 3630 Hickory Road, Mishawaka, IN 46545 2019-02-25
1639662596 Mishawaka Rcf Lp Assisted Living Facility 3630 Hickory Rd, Mishawaka, IN 46545 2018-06-14
1760907299 Timothy John Howard Emergency Medicine 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 2017-08-05
1699203612 Paridhie Vasudevan Dentist 6502 Grape Rd Ste 882, Mishawaka, IN 46545 2017-06-03
1780134650 Ossip Optometry, PC Optometrist 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 2016-10-04
1457730038 Melissa Anne Douthit Nurse Practitioner 3665 Park Pl W Ste 300, Mishawaka, IN 46545 2015-05-28
1558759654 Spine and Joint Associates of Plymouth, Inc Chiropractor 229 Red Coach, Suite 106, Mishawaka, IN 46545 2014-12-26
1609264795 Spine and Joint Associates of Mishawaka, Inc Chiropractor 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 2014-12-26
1508260795 Maribel Smith Counselor 2989 Heritage Ct, Mishawaka, IN 46545 2014-10-16
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265735674 Cancer Care Partners, LLC General Acute Care Hospital 301 E Day Rd, Mishawaka, IN 46545-3455 2010-12-08
1518197011 United Surgeons, LLC General Acute Care Hospital 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 2009-07-17
1841245594 Saint Joseph Regional Medical Center - South Bend Campus, Inc. General Acute Care Hospital 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 2006-05-23
1538127709 Saint Joseph Community Hospital of Mishawaka Inc General Acute Care Hospital 215 W 4th St, Mishawaka, IN 46544-1917 2006-05-03

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City MISHAWAKA
Zip Code 46545

Improve Information

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Dataset Information

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.

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