Active NPI
St. Joseph Community Hospital
- Advanced Practice Midwife
- Elkhart, IN
National Provider Identifier
1902849383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 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
National Provider Directory
National Provider Directory- Tax ID family
- Midwifery of Michiana
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Advanced Practice Midwife
- Mishawaka, IN
- NPI 1437191152
-
- Advanced Practice Midwife
- Mishawaka, IN
- NPI 1316119654
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.