Med One Of St Joseph
LBN: St Joseph Primary Llc
Med One Of St Joseph is an health care organization with primary practice located at 5111 Clinton Dr , Kokomo IN 46902-7136. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
St Joseph Primary Llc can be contacted via phone (765) 453-8800, or through Kellar, Andrew via phone (765) 457-8381.
Contact Information
Primary practice address
5111 Clinton Dr
Kokomo IN 46902-7136
Phone: (765) 453-8800
Fax: (765) 457-4443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Indiana | |
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | Indiana |
Profile Details
| NPI number | 1073569364 |
|---|---|
| LBN Legal business name | St Joseph Primary Llc |
| DBA Doing business as | Med One Of St Joseph |
| Authorized official | Kellar, Andrew |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Nov 16th, 2007 - about 18 years 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 | 1073569364 | NPPES |
| Indiana | MEDICAID | 20031200 | |
| Indiana | Other | 000000183506 |
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