NPI 1174710750
Physicians Hospital, LLC
Practice location
- Address
- 1625 E Jefferson Blvd, Mishawaka, IN 46545-7103
- Phone
- (574) 255-1400
Authorised official
- Name
- Tammi Moore
- Title
- Professional Service Director
- Phone
- (574) 546-1911
Registered specialties
Long Term Care Hospital
Primary
Registry record
- NPI
- 1174710750
- Entity type
- Organization
- NPI issued
- 27 Sep 2007
- Record last updated
- 13 Jan 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.