Organization · NPI-2

Saint Joseph Regional Medical Center, INC.

Family Medicine · Mishawaka, IN

NPI number1467406074
StatusActive
Last updated in NPPESMar 3, 2026

Details

NPI
1467406074
Entity type
Organization (NPI-2)
Legal business name
Saint Joseph Regional Medical Center, INC.
Organization subpart
Yes
Enumeration date
May 19, 2006
Certification date
Mar 3, 2026
Last updated
Mar 3, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207R00000X Internal Medicine––
208000000X Pediatrics––
261QU0200X Clinic/Center, Urgent Care––
363LP0200X Nurse Practitioner, Pediatrics––
363LF0000X Nurse Practitioner, Family––
363L00000X Nurse Practitioner––
207V00000X Obstetrics & Gynecology––

Other names

  • Saint Joseph Medical Group (Doing Business As)

Practice location

60101 Bodnar Blvd Ste 100b
Mishawaka, IN 46544-9340

Phone 574-335-8500 · Fax 574-335-0794

Mailing address

5215 Holy Cross Pkwy
Provider Services-Enrollment
Mishawaka, IN 46545-1469

Phone 574-335-8707

Other practice locations

2349 Lake Ave Ste 100
Plymouth, IN 46563-7836

Phone 574-948-5100 · Fax 574-948-5499

2930 W Cleveland Road Ext
South Bend, IN 46628-6090

Phone 574-335-8450 · Fax 574-335-0780

1122 S Ironwood Dr
South Bend, IN 46615-1618

Phone 574-335-8399 · Fax 574-335-0786

1025 Widener Ln
South Bend, IN 46614-3242

Phone 574-335-7600 · Fax 574-335-0734

611 E Douglas Rd Ste 401
Mishawaka, IN 46545-1468

Phone 574-335-6242 · Fax 574-335-0758

1919 Lake Ave Ste 110
Plymouth, IN 46563-7830

Phone 574-948-5290 · Fax 574-948-5495

209 E Jefferson St
Plymouth, IN 46563-1861

Phone 574-948-5100 · Fax 574-335-0745

506 Michigan St
Walkerton, IN 46574-1116

Phone 574-335-5200 · Fax 574-335-0858

1919 Lake Ave Ste 106
Plymouth, IN 46563-7830

Phone 574-335-5220 · Fax 574-335-0859

114 N Washington St
Bourbon, IN 46504-1623

Phone 574-335-7850 · Fax 574-335-0755

Authorized official

Christopher James Karam
President
5743355000

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