Healthcare Provider Details

I. General information

NPI: 1740220458
Provider Name (Legal Business Name): SAINT JOSEPH HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 06/11/2021
Certification Date: 06/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1960 N OGDEN ST STE 460
DENVER CO
80218-3670
US

IV. Provider business mailing address

500 ELDORADO BLVD BLDG 6 STE 6250
BROOMFIELD CO
80021
US

V. Phone/Fax

Practice location:
  • Phone: 303-318-2500
  • Fax: 303-318-2575
Mailing address:
  • Phone: 855-851-4127
  • Fax: 303-272-0390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMESON SMITH
Title or Position: PRESIDENT & CEO
Credential:
Phone: 303-812-4940