Saint Joseph Physician Network - Primary Care in Mishawaka, IN

Saint Joseph Physician Network is a primary clinic (Family Medicine) in Mishawaka, Indiana. The current practice location for Saint Joseph Physician Network is 60101 Bodnar Blvd Ste 100b, Mishawaka, Indiana. For appointments, you can reach them via phone at (574) 335-8500. The mailing address for Saint Joseph Physician Network is 707 Cedar St Ste 200, Saint Joseph Physician Network-cbo, South Bend, Indiana and phone number is (574) 335-8700.

Saint Joseph Physician Network is licensed to practice in * (Not Available) (license number ) and its NPI number is 1467406074. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (574) 335-8500.

Contact Information

Saint Joseph Physician Network
60101 Bodnar Blvd Ste 100b
Mishawaka
IN 46544-9340
(574) 335-8500
(574) 335-0794

Primary Care Clinic Profile

Full NameSaint Joseph Physician Network
SpecialityFamily Medicine
Location60101 Bodnar Blvd Ste 100b, Mishawaka, Indiana
Authorized Official Name and PositionRobert Sink (CFO)
Authorized Official Contact5743354654
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Saint Joseph Physician Network
707 Cedar St Ste 200
Saint Joseph Physician Network-cbo
South Bend
IN 46617-2057

Ph: (574) 335-8700
Saint Joseph Physician Network
60101 Bodnar Blvd Ste 100b
Mishawaka
IN 46544-9340

Ph: (574) 335-8500

NPI Details:

NPI Number1467406074
Provider Enumeration Date05/19/2006
Last Update Date12/16/2022

Medical Identifiers

Medical identifiers for Saint Joseph Physician Network such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467406074NPI-NPPES
000000215737OtherINANTHEM
000000219461OtherINANTHEM
000000219483OtherINANTHEM
000001245395OtherINANTHEM
100382620AMedicaidIN
100461640BMedicaidIN
100461640FMedicaidIN
300000754MedicaidIN
300046828MedicaidIN
000000271759OtherINANTHEM
100461640AMedicaidIN
300035149MedicaidIN
300046748MedicaidIN
000000219486OtherINANTHEM
000000219523OtherINANTHEM
100461640HMedicaidIN
000000219463OtherINANTHEM
000000878282OtherINANTHEM
000000982999OtherINANTHEM
100461640EMedicaidIN
200041520DMedicaidIN
000000215216OtherINANTHEM
000000219481OtherINANTHEM
000000219522OtherINANTHEM
000000732933OtherINANTHEM
300068646MedicaidIN
CJ6650OtherINRR MEDICARE
000000215275OtherINANTHEM
100269960DMedicaidIN
100461640DMedicaidIN
100461640GMedicaidIN
200045130AMedicaidIN
300046826MedicaidIN
000000547396OtherINANTHEM
021236800OtherINFEDERAL BLACK LUNG
100173780AMedicaidIN
200251600AMedicaidIN
300000752MedicaidIN
300025120MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
207RI0200XInternal Medicine - Infectious Disease (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP0200XNurse Practitioner - Pediatrics (* (Not Available))Secondary

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› Verified 5 days ago


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