Organization Active NPI

St. Joseph Community Hospital

  • Advanced Practice Midwife
  • Elkhart, IN
National Provider Identifier
1902849383
Registry record updated Aug 22, 2020
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@St. Joseph Regional Medical Center
Practice address
229 W Marion St
Elkhart, IN 46516-3232
Phone
(574) 295-9146
Fax
(574) 295-9241
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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 MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X Primary

Addresses

Primary practice location

229 W Marion St
Elkhart, IN 46516-3232

Mailing address

420 W 4TH St
Suite 100
Mishawaka, IN 46544-1948
Phone (574) 252-0300

Other names 1

  • Midwifery of Michiana@St. 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": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902849383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W 4TH ST",
            "address_2": "SUITE 100",
            "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": "229 W MARION ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465163232",
            "telephone_number": "574-295-9146",
            "fax_number": "574-295-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-08-22",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwifery of Michiana@St. Joseph Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.