St Joseph Physicians Southway

LBN: St Joseph Primary Llc
St Joseph Physicians Southway is an health care organization with primary practice located at 188 E Southway Blvd , Kokomo IN 46902-3650. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. St Joseph Primary Llc can be contacted via phone (765) 453-9000, or through Kellar, Andrew via phone (765) 457-8381.

Contact Information

Primary practice address
188 E Southway Blvd Kokomo IN 46902-3650
Phone: (765) 453-9000
Fax: (765) 457-4443
Website:
Map and Directions
Authorized official contact:
Name: Kellar, Andrew
Phone: (765) 457-8381

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Indiana

Profile Details

NPI number 1477590164
LBN Legal business name St Joseph Primary Llc
DBA Doing business as St Joseph Physicians Southway
Authorized official Kellar, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Nov 16th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477590164 NPPES
Indiana Other 000000183506 BLUE CROSS BLUE SHIELD

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