Healthcare Provider Details

I. General information

NPI: 1073103354
Provider Name (Legal Business Name): SAINT JOSEPH HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2021
Last Update Date: 01/21/2021
Certification Date: 01/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 PRAIRIE CENTER PKWY STE 2300
BRIGHTON CO
80601-4003
US

IV. Provider business mailing address

500 ELDORADO BLVD STE 6300
BROOMFIELD CO
80021-3422
US

V. Phone/Fax

Practice location:
  • Phone: 303-318-3240
  • Fax:
Mailing address:
  • Phone: 303-272-0566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMESON SMITH
Title or Position: PRESIDENT/CEO
Credential:
Phone: 303-812-4927