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Organization
ST. JOSEPH PRIMARY CARE, LLC
Active
Organization
ST. JOSEPH PRIMARY CARE, LLC
Active
Other names
Ascension St. Vincent Kokomo Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MORRIS (CFO (AMG))
(317) 338-6234
Entity
Organization
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 456-5433
Mailing address
3109 W SYCAMORE ST, KOKOMO, IN 46901-4181
(765) 457-8381
(765) 457-4443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
742949291
IN
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
207RI0008X
Hepatology Physician
—
NULL
207RI0008X
Hepatology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
IN
Other
Enumeration date
03/12/2007
Last updated
02/20/2024
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