Organization
ST JOSEPH HOSPITAL AND HEALTH CENTER INC
Active
Other names
St Vincent Kokomo, Ascension St. Vincent Kokomo
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY YOUNG FACHE (PRESIDENT/CEO)
(765) 456-5300
Entity
Organization
Contact information
Practice address
3309 S 750 W, SUITE 101, RUSSIAVILLE, IN 46979-9146
(765) 456-5300
Mailing address
3309 S 750 W, SUITE 101, RUSSIAVILLE, IN 46979-9146
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
06/29/2020
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