St Joseph Primary Llc in Kokomo - Pediatrics
St Joseph Primary Llc - NPI 1982650164
St Joseph Primary Llc is a Pediatrics in Kokomo, Indiana. St Joseph Primary Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for St Joseph Primary Llc is 1982650164. The last update date is 2007-11-16.
St Joseph Primary Llc's current location address is 3109 W Sycamore St, Kokomo, Indiana. You can contact this provider via phone number 7654578381 and fax number 7654574443. The mailing address for St Joseph Primary Llc is 3109 W Sycamore St, Kokomo, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Joseph Primary Llc |
|---|---|
| Address | 3109 W Sycamore St, Kokomo, Indiana |
| Phone Number | 7654578381 |
| Fax Number | 7654574443 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | REGIONAL P |
|---|---|
| Authorized Official Name | Kellar Andrew |
| Telephone Number | 7654578381 |
NPI Number Detail
| NPI Number | 1982650164 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2007-11-16 |
Provider Mailing Address Detail
| Address | 3109 W Sycamore St |
|---|---|
| City | Kokomo |
| State | Indiana (IN) |
| Post Code | 469014026 |
| Phone Number | 7654578381 |
| Fax Number | 7654574443 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 183506 | IN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to St Joseph Primary Llc?
The St Joseph Primary Llc has been issued the NPI (National Provider Identifier) 1982650164 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where St Joseph Primary Llc is geographically located?
The St Joseph Primary Llc is physically situated at the following location: 3109 W Sycamore St, Kokomo, IN, 469014026.
What is the area of specialization for St Joseph Primary Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for St Joseph Primary Llc is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did St Joseph Primary Llc receive its 1982650164 assignment from the Centers for Medicare & Medicaid Services?
The St Joseph Primary Llc was assigned its 1982650164 on 2006-05-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding St Joseph Primary Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to St Joseph Primary Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-16.