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MED ONE OF ST JOSEPH
NPI 1073569364
Clinic/Center - Urgent Care in Kokomo, IN

Active since May 26, 2006
5111 CLINTON DR, KOKOMO, IN 46902(765) 453-8800(765) 457-4443 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Med One Of St Joseph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MED ONE OF ST JOSEPH (NPI 1073569364) is a healthcare organization registered as an urgent care in Kokomo, Indiana and active in the NPI registry since May 2006. The organization lists Andrew Kellar, Regional Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1073569364
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameST JOSEPH PRIMARY LLC
Location Address5111 CLINTON DRKokomo, IN 46902-7136
Mailing Address5111 Clinton DrKokomo, IN 46902-7136 · (765) 453-8800 · Fax (765) 457-4443
Phone(765) 453-8800
Fax(765) 457-4443
Organization SubpartNo
Authorized OfficialAndrew KellarRegional Practice Administrator · (765) 457-8381
Enumeration DateMay 26, 2006
Last NPPES UpdateNovember 16, 2007
✔ NPI 1073569364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedFamily MedicineTaxonomy 207Q00000X
5111 CLINTON DR, Kokomo, IN 46902
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Other Names 1

Doing Business AsMed One Of St Joseph

Other Identifiers 3

Medicare PIN170710IN
Other000000183506IN · Blue Cross Blue Shield
Medicaid20031200IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY AND COSMETIC DENTISTRY OF KOKOMO, PC
Dentist
5111 CLINTON DR
KOKOMO, IN 46902
Howard County (765) 453-4369
STUART DEVAUL MD
Emergency Medicine
5111 CLINTON DR
KOKOMO, IN 46902
Howard County (765) 453-8800
DR. LAUREN KEIKO GRIEBENOW DDS
Dentist (General Practice)
5111 CLINTON DR
KOKOMO, IN 46902
Howard County (765) 453-4369
HANNAH WHITE DDS
Dentist (General Practice)
5111 CLINTON DR
KOKOMO, IN 46902
Howard County (317) 430-7777
DR. CLARISA D. OLIVEIRA DDS
Dentist
5111 CLINTON DR
KOKOMO, IN 46902
Howard County (765) 453-4369
ST. JOSEPH PRIMARY CARE, LLC
Preventive Medicine (Occupational Medicine)
5111 CLINTON DR
KOKOMO, IN 46902
Howard County (765) 453-8800
JEFFREY K WILSON MD
Family Medicine
5111 CLINTON DR
KOKOMO, IN 46902
Howard County (765) 457-8381

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Joseph Primary LLC's NPI number?

The NPI number for St Joseph Primary LLC is 1073569364. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Med One Of St Joseph.

Where is St Joseph Primary LLC located?

St Joseph Primary LLC is located at 5111 Clinton Dr, Kokomo, IN 46902. The listed phone number is (765) 453-8800.

What is St Joseph Primary LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for St Joseph Primary LLC was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.