Organization
ST. JOSEPH HEALTH SYSTEM, LLC
Active
Other names
Lutheran Downtown Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
702 VAN BUREN ST, FORT WAYNE, IN 46802-3697
(260) 425-3000
(260) 425-3222
Mailing address
15819 COLLECTION CENTER DR, CHICAGO, IL 60693-0158
(260) 425-3000
(260) 425-3222
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
05-005043-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100268500A
—
IN
Enumeration date
05/16/2006
Last updated
12/01/2021
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