Healthcare Provider Details

I. General information

NPI: 1104450485
Provider Name (Legal Business Name): SAINT JOSEPH HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2020
Last Update Date: 03/12/2020
Certification Date: 03/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1606 PRAIRIE CENTER PKWY STE 210
BRIGHTON CO
80601-4004
US

IV. Provider business mailing address

500 ELDORADO BLVD STE 4300
BROOMFIELD CO
80021-3564
US

V. Phone/Fax

Practice location:
  • Phone: 303-318-2610
  • Fax: 303-272-0748
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMESON SMITH
Title or Position: PRESIDENT SAINT JOSEPH HOSPITAL
Credential:
Phone: 303-812-4927