NPIMap

Organization Active NPI

St. Joseph Community Hospital

Doing business as Midwifery of Michiana @ Saint Joseph Regional Medical Center

  • Advanced Practice Midwife
  • Mishawaka, IN
National Provider Identifier
1316119654
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
ST. JOSEPH COMMUNITY HOSPITAL
Doing business as
Midwifery of Michiana @ Saint Joseph Regional Medical Center
Practice address
60101 Bodner Dr
Mishawaka, IN 46544-9339
Phone
(574) 252-0300
Fax
(574) 252-0303
NPI assigned
Mar 27, 2008
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Mr. Steven Rose
Title
Executive Vice President
Phone
(574) 258-1293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NU Primary

Addresses

Primary practice location

60101 Bodner Dr
Mishawaka, IN 46544-9339

Mailing address

420 W 4TH St
Mishawaka, IN 46544-1948
Phone (574) 252-0300

Other names 1

  • Midwifery of Michiana @ Saint Joseph Regional Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Midwifery of Michiana3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1316119654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W 4TH ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441948",
            "telephone_number": "574-252-0300",
            "fax_number": "574-252-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60101 BODNER DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465449339",
            "telephone_number": "574-252-0300",
            "fax_number": "574-252-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "574-258-1293",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwifery of Michiana @ Saint Joseph Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.