Family Medicine Center Of Sjrmc
LBN: Saint Joseph Regional Medical Center-South Bend Campus, Inc.
Family Medicine Center Of Sjrmc is an health care organization with primary practice located at 611 E Douglas Rd, Ste 407 Family Medicine Center Of Sjrmc, Mishawaka IN 46545-1468. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Saint Joseph Regional Medical Center-South Bend Campus, Inc. can be contacted via phone (574) 335-6500, or through Sink, Rob via phone (574) 335-5000.
Contact Information
Primary practice address
611 E Douglas Rd, Ste 407 Family Medicine Center Of Sjrmc
Mishawaka IN 46545-1468
Phone: (574) 335-6500
Fax: (574) 335-0772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | ||
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | ||
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X |
Profile Details
| NPI number | 1780766261 |
|---|---|
| LBN Legal business name | Saint Joseph Regional Medical Center-South Bend Campus, Inc. |
| DBA Doing business as | Family Medicine Center Of Sjrmc |
| Authorized official | Sink, Rob |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Jul 11th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780766261 | NPPES |
| Indiana | MEDICAID | 100382210E | |
| Indiana | MEDICAID | 300019508 | |
| Indiana | MEDICAID | 100382210A |
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