| Organization Name: | ST JOSEPH HEALTH SYSTEM INC |
| NPI Number: | 1477716165 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARITY HIGGINS (DIR-MEDICAL PRACTICES) |
| Mailing Address: | 325 E M 55 Tawas City |
| State: | MI US |
| Postal Code: | 487638211 |
| Phone Number: | 9899843770 |
| Fax Number: | 9899840038 |
| NPI Enumeration Date: | 07/03/2008 |
| NPI Last Update Date: | 02/22/2016 |
| 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: | |