Healthcare Provider Details

I. General information

NPI: 1417946021
Provider Name (Legal Business Name): SAINT JOSEPH HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 E 19TH AVE
DENVER CO
80218-1114
US

IV. Provider business mailing address

1375 E 19TH AVE
DENVER CO
80218-1114
US

V. Phone/Fax

Practice location:
  • Phone: 303-812-2000
  • Fax:
Mailing address:
  • Phone: 303-812-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number010430
License Number StateCO

VIII. Authorized Official

Name: TROY STOEHR
Title or Position: VP OF FINANCE
Credential:
Phone: 303-812-4936