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St Joseph Hospital and Health Center Inc

Organization Active NPI Physiological Laboratory · Russiaville, IN

NPI 1154724342 · NPPES record last updated Jun 29, 2020

Key facts

NPI
1154724342
Entity type
Organization (NPI type 2)
Primary specialty
Physiological Laboratory 293D00000X
Legal business name
ST JOSEPH HOSPITAL AND HEALTH CENTER INC
Practice address
3309 S 750 W
Suite 101
Russiaville, IN 46979-9146
Phone
(765) 456-5300
NPI assigned
Oct 1, 2014
Organization subpart
No

Authorized official

Name
Kathy Young, FACHE
Title
President/Ceo
Phone
(765) 456-5300

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0989142American Health Network of in, LLC
3309 S 750 W, Russiaville, IN 46979		Certificate of waiverOct 4, 2026

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X
Physiological Laboratory 293D00000X Yes

Addresses

Primary practice location

3309 S 750 W
Suite 101
Russiaville, IN 46979-9146

Mailing address

3309 S 750 W
Suite 101
Russiaville, IN 46979-9146

Other names

  • Ascension St. Vincent Kokomo Doing business as
  • St Vincent Kokomo Doing business as

Other providers in Russiaville, IN

All providers in Russiaville, IN · Physiological Laboratory in Indiana

Sources for this page

Verify at the official NPI Registry.