| Saint Joseph Medical Group | |
|
60101 Bodnar Blvd Ste 100b Mishawaka IN 46544-9340 | |
| (574) 335-8500 | |
| (574) 335-0794 |
| Full Name | Saint Joseph Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 60101 Bodnar Blvd Ste 100b, Mishawaka, Indiana |
| Authorized Official Name and Position | Christopher James Karam (PRESIDENT) |
| Authorized Official Contact | 5753352344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Joseph Medical Group 5215 Holy Cross Pkwy Provider Services-enrollment Mishawaka IN 46545-1469 Ph: (574) 335-8707 | Saint Joseph Medical Group 60101 Bodnar Blvd Ste 100b Mishawaka IN 46544-9340 Ph: (574) 335-8500 |
| NPI Number | 1467406074 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467406074 | NPI | - | NPPES |
| 100461640H | Medicaid | IN | |
| 200041520D | Medicaid | IN | |
| 300000754 | Medicaid | IN | |
| 100461640F | Medicaid | IN | |
| 100382620A | Medicaid | IN | |
| 021236800 | Other | IN | FEDERAL BLACK LUNG |
| 100173780A | Medicaid | IN | |
| 100461640D | Medicaid | IN | |
| 100461640G | Medicaid | IN | |
| 300046748 | Medicaid | IN | |
| 300086087 | Medicaid | IN | |
| CJ6650 | Other | IN | RR MEDICARE |
| 200045130A | Medicaid | IN | |
| 100461640B | Medicaid | IN | |
| 100461640E | Medicaid | IN |
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