St Joseph Primary LLC

St Joseph Primary LLC is a healthcare organization registered as Legal Medicine in Greentown, IN, holding Type 2 (organization) NPI 1780631812 since 2006. The authorized official on file is Andrew Kellar, Regional Practice Administrator.

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NPI	1780631812
Entity type	Organization (Type 2)
Legal business name	St Joseph Primary LLC
Other name	<Unavail>
Practice address	712 W MAIN ST, Greentown, IN, 46936
Phone	7656283317
Fax	7654574443
Enumeration date	2006-05-27
Last updated in NPPES	2007-11-16

Authorized official

Name	Andrew Kellar
Title	Regional Practice Administrator
Phone	7654578381

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
173000000X	Legal Medicine	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
000000183518	Other	IN	BLUE CROSS BLUE SHIELD

Copy-ready billing details

Provider: St Joseph Primary LLC
NPI: 1780631812
Taxonomy: 173000000X (Legal Medicine)
Address: 712 W MAIN ST, Greentown, IN, 46936

Providers at this address

NPI	Name	Type	Specialty	Location
1013998723	Ken Ridgeway	Individual	Family Medicine Physician	Greentown, IN
1336342286	St. Joseph Primary Care, LLC	Organization	Pediatrics Physician	Greentown, IN

Verify this record

Cross-check NPI 1780631812 against the authoritative CMS record: view St Joseph Primary LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is St Joseph Primary LLC located?

The practice location on file with NPPES is in Greentown, IN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-11-16. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-11-16.