Healthcare Provider Details

I. General information

NPI: 1528138237
Provider Name (Legal Business Name): ST JOSEPHS HOSPITAL OF HUNTINGBURG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1706 MEDICAL ARTS DR SUITE 5
HUNTINGBURG IN
47542-9049
US

IV. Provider business mailing address

1706 MEDICAL ARTS DR SUITE 5
HUNTINGBURG IN
47542-9049
US

V. Phone/Fax

Practice location:
  • Phone: 812-683-6410
  • Fax:
Mailing address:
  • Phone: 812-683-6410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateIN

VIII. Authorized Official

Name: MR. GRACIA A WINSETT
Title or Position: CHIEF FINANCIAL OFFICER
Credential: CFO
Phone: 812-683-2121