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Organization

ST JOSEPH HEALTH SYSTEM LLC

Active
Parent organization
ST JOSEPH HEALTH SYSTEM LLC
Other names
Transitional Care Unit of St Joseph
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST JOSEPH HEALTH SYSTEM LLC
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization

Contact information

Practice address
700 BROADWAY, FORT WAYNE, IN 46802-1402
(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
314000000X
Skilled Nursing Facility
Primary
05-005043-1
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100268500B
IN
Enumeration date
05/20/2006
Last updated
04/29/2021
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