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St. Joseph Primary Llc
Ambulatory Surgical Clinic/Center in Kokomo, Indiana
NPI 1295935484

St. Joseph Primary Llc is an Ambulatory Surgical Clinic/Center based in Kokomo, IN and is specialized in Ambulatory Surgical. St. Joseph Primary Llc practices in Kokomo, IN. The NPI Number for St. Joseph Primary Llc is 1295935484 and holds a License No. (Indiana).

The current practice location address for St. Joseph Primary Llc is 2343 W Lincoln Rd, Kokomo, IN and can be reached out via phone at 765-455-4090 and via fax at 765-457-4443.

Location: 2343 W Lincoln Rd, Kokomo, IN, 46902-8012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295935484
Provider Name
St. Joseph Primary Llc
Credential
Provider Entity Type
Organization
Address
2343 W Lincoln Rd, Kokomo, IN, 46902-8012
Phone Number
765-455-4090
Fax Number
765-457-4443
Provider Enumeration Date
07/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000183506 01 IN BCBS
institution
Provider Business Practice Location Address Details
Address
2343 W Lincoln Rd
City
Kokomo
State
Indiana
Zip
46902-8012
Phone Number
765-455-4090
Fax Number
765-457-4443
person
Provider Business Mailing Address Details
Address
2343 W Lincoln Rd
City
Kokomo
State
Indiana
Zip
46902-8012
Phone Number
765-455-4090
Fax Number
765-457-4443
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
()
Definition
Definition to come...
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