Healthcare Provider Details

I. General information

NPI: 1932476330
Provider Name (Legal Business Name): SAINT JOSEPH HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2011
Last Update Date: 11/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 BOB O LINK DR STE 120
LEXINGTON KY
40504-3759
US

IV. Provider business mailing address

1 SAINT JOSEPH DR
LEXINGTON KY
40504-3742
US

V. Phone/Fax

Practice location:
  • Phone: 859-277-3737
  • Fax: 859-277-3765
Mailing address:
  • Phone: 859-313-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. CARMEL JONES
Title or Position: COO/VP FINANCE
Credential:
Phone: 606-330-6015