Healthcare Provider Details

I. General information

NPI: 1982955290
Provider Name (Legal Business Name): SAINT JOSEPH HEALTH SYSTEM INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2012
Last Update Date: 01/25/2023
Certification Date: 01/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 ESTILL ST
BEREA KY
40403-1742
US

IV. Provider business mailing address

PO BOX 936
LONDON KY
40743-0936
US

V. Phone/Fax

Practice location:
  • Phone: 859-986-2343
  • Fax: 859-986-2344
Mailing address:
  • Phone: 606-330-7835
  • Fax: 606-330-7825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number18-3473
License Number StateKY

VIII. Authorized Official

Name: MR. CHRISTY SPITSER
Title or Position: VP OF FINANCE
Credential:
Phone: 859-313-1694