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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
60205 Bodnar Blvd, Mishawaka, IN 465449342 | 5743355000 |
Street Address |
5215 HOLY CROSS PARKWAY |
City | MISHAWAKA |
State | IN |
Zip Code | 46545-1469 |
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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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 |
Find all providers in zip 46545 |
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 |
---|---|---|---|---|
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 |
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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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.