Organization
SAINT JOSEPH REGIONAL MEDICAL CENTER, INC.
Active
Parent organization
TRINITY HEALTH ACADEMIC INTERNAL MEDICINE-NORTHWEST LIVONIA
Other names
Saint Joseph Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY HEALTH ACADEMIC INTERNAL MEDICINE-NORTHWEST LIVONIA
Authorized official
CHRISTOPHER JAMES KARAM (PRESIDENT)
(574) 335-5000
Entity
Organization
Contact information
Practice address
60101 BODNAR BLVD STE 100B, MISHAWAKA, IN 46544-9340
(574) 335-8500
(574) 335-0794
Mailing address
5215 HOLY CROSS PKWY, PROVIDER SERVICES-ENROLLMENT, MISHAWAKA, IN 46545-1469
(574) 335-8707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021236800
FEDERAL BLACK LUNG
IN
05
—
100173780A
—
IN
05
—
100382620A
—
IN
05
—
100461640B
—
IN
05
—
100461640D
—
IN
05
—
100461640E
—
IN
05
—
100461640F
—
IN
05
—
100461640G
—
IN
05
—
100461640H
—
IN
05
—
200041520D
—
IN
05
—
200045130A
—
IN
05
—
300000754
—
IN
05
—
300046748
—
IN
05
—
300086087
—
IN
01
—
CJ6650
RR MEDICARE
IN
Enumeration date
05/19/2006
Last updated
03/03/2026
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