# ST. JOSEPH COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midwifery of Michiana @ Saint Joseph Regional Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316119654
- **Authorized official:** MR. STEVEN ROSE (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (574) 258-1293

## Contact information

- **Practice address:** 60101 BODNER DR, MISHAWAKA, IN 46544-9339
- **Practice address phone:** (574) 252-0300
- **Practice address fax:** (574) 252-0303
- **Mailing address:** 420 W 4TH ST, MISHAWAKA, IN 46544-1948
- **Mailing address phone:** (574) 252-0300
- **Mailing address fax:** (574) 252-0303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2008
- **Last updated:** 03/27/2008