Organization Name: | SAINT JOSEPH HEALTH SYSTEM INC |
NPI Number: | 1184651994 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHY STUMBO (PRESIDENT) |
Mailing Address: | 11087 Main Street Martin |
State: | KY US |
Postal Code: | 416497999 |
Phone Number: | 6062853690 |
Fax Number: | 6062856769 |
NPI Enumeration Date: | 06/27/2006 |
NPI Last Update Date: | 04/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |