Healthcare Provider Details

I. General information

NPI: 1710276100
Provider Name (Legal Business Name): SAINT JOSEPH HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2011
Last Update Date: 05/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 N MARION ST
DENVER CO
80218-1122
US

IV. Provider business mailing address

1825 N MARION ST
DENVER CO
80218-1122
US

V. Phone/Fax

Practice location:
  • Phone: 303-318-3434
  • Fax: 303-318-3496
Mailing address:
  • Phone: 303-318-3434
  • Fax: 303-318-3496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number780
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMESON SMITH
Title or Position: PRESIDENT
Credential:
Phone: 303-812-2000