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Contact Information

ST. JOSEPH PRIMARY CARE, LLC
1907 W SYCAMORE ST
KOKOMO, IN46901-5148
 Phone: 317-456-5433
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Hematology

207RH0000X 11 Physician/Internal Medicine
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ST. JOSEPH PRIMARY CARE, LLC

NPI # 1487377685
LBN Legal business name ST. JOSEPH PRIMARY CARE, LLC
Authorized official BRIAN MORRIS - (CFO (AMG))
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2022
Last updated 10/10/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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