# ST JOSEPH HEALTH SYSTEM LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST JOSEPH HEALTH SYSTEM LLC
- **Other names:** Stellhorn Freestanding Emergency Dept
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699670604
- **Legal business name:** ST JOSEPH HEALTH SYSTEM LLC
- **Authorized official:** PAULA LALOR (SENIOR DIRECTOR)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 6515 STELLHORN RD, FORT WAYNE, IN 46815-5436
- **Practice address phone:** (260) 479-3001
- **Practice address fax:** (260) 479-3002
- **Mailing address:** 702 VAN BUREN ST, FORT WAYNE, IN 46802-3697
- **Mailing address phone:** (260) 425-3000
- **Mailing address fax:** (260) 425-3222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2026
- **Last updated:** 10/09/2026
