Healthcare Provider Details

I. General information

NPI: 1740488386
Provider Name (Legal Business Name): SAINT JOSEPH HEALTH SYSTEM, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 ESTILL ST
BEREA KY
40403-1742
US

IV. Provider business mailing address

1 SAINT JOSEPH DR
LEXINGTON KY
40504-3742
US

V. Phone/Fax

Practice location:
  • Phone: 859-986-3151
  • Fax: 859-313-3010
Mailing address:
  • Phone: 859-313-1000
  • Fax: 859-313-3010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: MRS. DOROTHY ZIMMERMAN
Title or Position: SENIOR DIRECTOR
Credential:
Phone: 859-313-1265