Healthcare Provider Details

I. General information

NPI: 1972599785
Provider Name (Legal Business Name): SAINT JOSEPH'S HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11705 MERCY BLVD
SAVANNAH GA
31419-1711
US

IV. Provider business mailing address

5353 REYNOLDS ST
SAVANNAH GA
31405-6015
US

V. Phone/Fax

Practice location:
  • Phone: 912-819-2404
  • Fax: 912-819-2188
Mailing address:
  • Phone: 912-819-8455
  • Fax: 912-819-6736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MELISSA D ALVAREZ
Title or Position: REGISTERED AGENT
Credential:
Phone: 912-819-5294