St Joe Regional Medical Center South Bend Campus Inc is a General Acute Care Hospital (organization) practicing in South Bend, Indiana. The National Provider Identifier (NPI) is #1922213768, which was assigned on May 14, 2007, and the registration record was last updated on April 20, 2008. The practitioner's main practice location is at 801 E Lasalle Ave, South Bend, IN 46617-2814; the contact telephone number is 2192377111. The primary taxonomy of St Joe Regional Medical Center South Bend Campus Inc is General Acute Care Hospital (282N00000X). The authorized official for St Joe Regional Medical Center South Bend Campus Inc is Carol Lindauer (Director of Patient Accounts). St Joe Regional Medical Center South Bend Campus Inc is licensed to practice in the state of Michigan (#=========).
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
| NPI | 1922213768 |
| Employer Identification Number |
|
| Entity Type | Organization |
| Organization Name | ST JOE REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC |
| Provider Name | ST JOE REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC |
| Other Organization Name |
ST JOE REGIONAL MEDICAL CENTER (Doing Business As Name) |
| Other Name | ST JOE REGIONAL MEDICAL CENTER |
| Practice Address |
801 E Lasalle Ave South Bend IN 46617-2814 |
| Practice Telephone | 2192377111 |
| Mailing Address |
801 E Lasalle Ave South Bend IN 46617-2814 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-04-20 |
| Official Name | CAROL LINDAUER |
| Official Title | DIRECTOR OF PATIENT ACCOUNTS |
| Telephone | 5176694140 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | ========= | MI |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 5172554 | MI | MEDICAID |
| Other Organization Name | Type |
|---|---|
| St Joe Regional Medical Center | Doing Business As Name |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| St Joe Regional Medical Center | 1915 Lake Ave, Plymouth, IN 46563-9366 | General Acute Care Hospital | 2007-05-17 |
| Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| Classification | General Acute Care Hospital |
| Grouping | Hospitals |
| Definition: An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Cm Del Mayab, S.A. De C.V. | Calle 24 S/N, Temozon Norte, Santa Gertrudis Copo, Merida, Yucatan 97305, MX | General Acute Care Hospital | 2025-01-15 |
| Hospiten Dominicana, Slu | Carretera Higuey, Punta Cana, Bavaro 99999, DO | General Acute Care Hospital | 2025-02-07 |
| Riverside Hospital Inc | 19339 Benns Grant Blvd, Smithfield, VA 23430-6393 | General Acute Care Hospital | 2024-12-17 |
| Sublette County Hospital District | 615 E Hennick St, Pinedale, WY 82941 | General Acute Care Hospital | 2025-01-24 |
| De Craig Ranch LLC | 6675 N Durango Dr, Las Vegas, NV 89149-4430 | General Acute Care Hospital | 2024-12-03 |
| Wellspan Health Neighborhood Hospitals LLC | 1201 Walnut Bottom Rd, Carlisle, PA 17015-7688 | General Acute Care Hospital | 2025-01-24 |
| Christus Santa Rosa Health Care Corporation | 600 N Union Ave, New Braunfels, TX 78130-4194 | General Acute Care Hospital | 2025-03-05 |
| Trinity Hospital Holding Company | 280 W Main St, Saint Clairsville, OH 43950-1051 | General Acute Care Hospital | 2024-12-19 |
| Hospital Real San Lucas of Mexico | Av Luis Donaldocolocio 863, La Gloria Tepatitlan De Morales, Jalisco 47670, MX | General Acute Care Hospital | 2024-12-26 |
| Hospital Medica Cancun | Avenida Nichupte, Cancun, Quintana Roo 77533, MX | General Acute Care Hospital | 2025-02-03 |
| Find all providers with the same taxonomy | |||
| Street Address |
801 E LASALLE AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2814 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Barbara E Larson | 801 E Lasalle Ave, Anesthesia Department, South Bend, IN 46617-2814 | Anesthesiology Physician | 2006-05-30 |
| Laura Ann Ipe | 801 E Lasalle Ave, South Bend, IN 46617-2814 | Registered Dietitian | 2006-11-01 |
| Denise Catherine Pitts | 801 E Lasalle Ave, So Bend, IN 46617 | Physical Therapist | 2007-01-11 |
| Zahia M Hassan | 801 E Lasalle Ave, Deborah Lawson Clinical Education, South Bend, IN 46617-2814 | Neonatal-Perinatal Medicine Physician | 2006-08-02 |
| Gwen Marie Ehlers | 801 E Lasalle Ave, South Bend, IN 46617-2814 | Registered Dietitian | 2006-11-01 |
| James Devereaux | 801 E Lasalle Ave, South Bend, IN 46617-2814 | Emergency Medical Services (Emergency Medicine) Physician | 2006-04-06 |
| Nathaniel Douglas Sagarsee | 801 E Lasalle Ave, South Bend, IN 46617-2814 | Pharmacotherapy Pharmacist | 2006-12-19 |
| Kristine Lee Kalber | 801 E Lasalle Avenue, South Bend, IN 46617 | Occupational Therapist | 2007-01-11 |
| Miriam Mckiernan Tribbett | 801 E Lasalle Ave, South Bend, IN 46617 | Physical Therapist | 2007-01-11 |
| Danniel Lee Cline | 801 E Lasalle Ave, South Bend, IN 46617-2814 | Pharmacist | 2007-01-23 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mark M Walsh | 801 E Lasalle, Emergency Department, South Bend, IN 46617-2814 | Internal Medicine Physician | 2005-10-25 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Athletico Ltd | 1140 Howard Street, Suite B1, South Bend, IN 46617 | Physical Therapist | 2021-12-10 |
| Alan Snell | 837 East Cedar St., Ste 100, South Bend, IN 46617 | Family Medicine Physician | 2006-10-20 |
| Stephen Frances Mitros | 720 E Cedar Street Suite 160, South Bend, IN 46617 | Orthopaedic Surgery Physician | 2006-10-04 |
| Delayna Myers | 316 S. Saint Peter St., Unit 10, South Bend, IN 46617 | Registered Dietitian | 2024-12-11 |
| Christa Louise Rose | 1501 East Madison Street, South Bend, IN 46617 | Occupational Therapy Assistant | 2023-05-08 |
| Jack Mcintyre Kimmell | 1526 East Lasalle, South Bend, IN 46617 | Athletic Trainer | 2016-10-20 |
| South Bend Childrens Dentistry PC | 103 S Eddy, South Bend, IN 46617 | Pediatric Dentist | 2007-02-28 |
| Cynthia Thai | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | Family Medicine Physician | 2010-06-11 |
| Sarah Sue Humes | 211 N Eddy St, South Bend, IN 46617 | Family Nurse Practitioner | 2018-02-13 |
| Morning View Assisted Living LLC | 475 N. Niles Avenue, South Bend, IN 46617 | Assisted Living Facility | 2014-05-12 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | 234 Chapin St Ste I (I), South Bend, IN 46601-2571 | Family Medicine Physician | 2014-08-04 |
| St Joseph Regional Medical Center Plymouth Campus | 1915 Lake Ave, Plymouth, IN 46563-9366 | General Acute Care Hospital | 2007-05-17 |
| Saint Joseph Regional Medical Center-South Bend Campus Inc | 53940 Carmichael Dr, South Bend, IN 46635-1564 | Clinic/Center | 2020-07-15 |
| Delta Regional Medical Center-West Campus | 300 S Washington Ave, Greenville, MS 38701-4719 | Psychiatric/Mental Health Nurse Practitioner | 2019-09-30 |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | 611 E Douglas Rd Ste 405, Mishawaka, IN 46545-1468 | Health Educator | 2023-09-20 |
| Saint Joseph Regional Medical Center South Bend Campus Inc | 326 Chapin St, South Bend, IN 46601-2541 | Community Health Clinic/Center | 2007-05-23 |
| Saint Joseph Regional Medical Center Plymouth Campus, Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 | Critical Care Medicine (Internal Medicine) Physician | 2014-06-18 |
| St Josephs Regional Medical Center South Bend Campus | Dept Ch 10224, Palatine, IL 60055-0224 | Emergency Medicine Physician | 2007-01-24 |
| Saint Joseph Regional Medical Center - South Bend Campus | 707 Cedar St, Suite 150, Image Recovery, South Bend, IN 46617-2054 | Durable Medical Equipment & Medical Supplies | 2007-05-10 |
| Saint Joseph Regional Medical Center - South Bend Campus, Inc. | 420 W 4th St, Suite 100, Mishawaka, IN 46544-1948 | Advanced Practice Midwife | 2008-10-23 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |