Ascension St. Vincent Kokomo Services
LBN: St. Joseph Primary Care, Llc
Ascension St. Vincent Kokomo Services is an health care organization with primary practice located at 1907 W Sycamore St , Kokomo IN 46901-5148. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
St. Joseph Primary Care, Llc can be contacted via phone (765) 456-5433, or through Morris, Brian via phone (317) 338-6234.
Contact Information
Primary practice address
1907 W Sycamore St
Kokomo IN 46901-5148
Phone: (765) 456-5433
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 742949291 | Indiana |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | ||
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | ||
Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | Indiana |
Profile Details
NPI number | 1982736377 |
---|---|
LBN Legal business name | St. Joseph Primary Care, Llc |
DBA Doing business as | Ascension St. Vincent Kokomo Services |
Authorized official | Morris, Brian |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 12th, 2007 |
Last updated | Feb 20th, 2024 - about 10 months ago |
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 | 1982736377 | NPPES |
Indiana | MEDICAID | 200312000 | |
Indiana | Other | 000000183506 |
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