Physicians Hospital, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

080056581 Issued in IN

Legal business name

PHYSICIANS HOSPITAL, LLC

Practice address

1625 E Jefferson Blvd
Mishawaka, IN 46545-7103

Phone

(574) 255-1400

NPI assigned

Sep 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tammi Moore

Title

Professional Service Director

Phone

(574) 546-1911

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Beacon Medical Group, Inc.

  dba Beacon Medical Group- Trauma and Surgical Services

  • Trauma Surgery Physician
  • South Bend, IN
  • NPI 1174927131

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cameron R Gilbert, PHD

  • Clinical Psychologist
  • Knox, IN
  • NPI 1386602910
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1174710750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E JEFFERSON BLVD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465457103",
            "telephone_number": "574-255-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E JEFFERSON BLVD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465457103",
            "telephone_number": "574-255-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_title_or_position": "PROFESSIONAL SERVICE DIRECTOR",
        "authorized_official_telephone_number": "574-546-1911"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "IN",
            "license": "080056581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P Pflum, D.D.S.
• Michael James Phend, M.D.
• Sheila Lynne Phillips, FNP
• Phoenix Counseling Services, Incorporated
• Physicians Holistic Health Alliance, LLC
• Physiotherapy Associates Inc (Select Physical Therapy)
• Pic Indiana PC (Physicians Immediate Care)
• Pic Indiana PC (WellNow Urgent Care)
• Michelle Nicole Pierson
• Pigment & Purpose LLC

• Long Term Care Hospital in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Long Term Care Hospital in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.