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St Joseph Primary LLC — NPI 1780631812, Greentown, IN | NPI Central

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NPI 1780631812

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

Legal MedicinePrimary173000000X
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

More IN providers

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.