St. Joseph Primary Llc in Kokomo - Ambulatory Surgical
St. Joseph Primary Llc - NPI 1295935484
St. Joseph Primary Llc is a Ambulatory Surgical in Kokomo, Indiana. St. Joseph Primary Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for St. Joseph Primary Llc is 1295935484. The last update date is 2007-11-16.
St. Joseph Primary Llc's current location address is 2343 W Lincoln Rd, Kokomo, Indiana. You can contact this provider via phone number 7654554090 and fax number 7654574443. The mailing address for St. Joseph Primary Llc is 2343 W Lincoln Rd, Kokomo, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Joseph Primary Llc |
|---|---|
| Address | 2343 W Lincoln Rd, Kokomo, Indiana |
| Phone Number | 7654554090 |
| 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 | 1295935484 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2007-11-16 |
Provider Mailing Address Detail
| Address | 2343 W Lincoln Rd |
|---|---|
| City | Kokomo |
| State | Indiana (IN) |
| Post Code | 469028012 |
| Phone Number | 7654554090 |
| Fax Number | 7654574443 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 183506 | IN | BCBS |
Post Comment/ Review Below
What is the St. Joseph Primary Llc's unique identification number?
The St. Joseph Primary Llc has been assigned the NPI (National Provider Identifier) Number 1295935484 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of St. Joseph Primary Llc?
The St. Joseph Primary Llc is situated at 2343 W Lincoln Rd, in the city of Kokomo, state of IN, with the zip code 469028012.
What is St. Joseph Primary Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for St. Joseph Primary Llc is Ambulatory Surgical, and the taxonomy code that categorizes this field of expertise is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services assign the 1295935484 to St. Joseph Primary Llc?
The Centers for Medicare & Medicaid Services assigned the 1295935484 to St. Joseph Primary Llc on 2007-07-25.
When was the information regarding St. Joseph Primary Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to St. Joseph Primary Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-16.
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