| Organization Name: | CANCER SOCIETY OF ST. JOSEPH COUNTY |
| NPI Number: | 1891841383 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATE VOELKER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 919 E Jefferson Blvd Suite 401 South Bend |
| State: | IN US |
| Postal Code: | 466173112 |
| Phone Number: | 5742874197 |
| Fax Number: | 5742874393 |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |