OrganizationActive
St Joseph Primary LLC
NPI 1780631812 · Legal Medicine · Greentown, IN
Provider details
- NPI number
- 1780631812
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Andrew Kellar, Regional Practice Administrator(765) 457-8381
Specialties & taxonomies
Other Service Providers
Practice location
712 W Main St
Greentown, IN 46936-1045
Phone: (765) 628-3317
Fax: (765) 457-4443
Approximate (ZIP-level) locationGet directions
Mailing address
712 W Main St
Greentown, IN 46936-1045
Other names (DBA / former)
- Doing business as
- Sycamore Primary & Specialty Care
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2007-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.