Organization Name: | SAINT JOSEPH MEDICAL FOUNDATION, INC |
NPI Number: | 1063705051 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARMEL JONES (COO/VP FINANCE) |
Mailing Address: | 300 W John Fitch Ave Suite 210 Bardstown |
State: | KY US |
Postal Code: | 400041150 |
Phone Number: | 5023487648 |
Fax Number: | 5023487490 |
NPI Enumeration Date: | 05/24/2011 |
NPI Last Update Date: | 08/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |