Healthcare Provider Details

I. General information

NPI: 1659040640
Provider Name (Legal Business Name): SAINT JOSEPH HEALTH SYSTEM, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2021
Last Update Date: 01/25/2023
Certification Date: 01/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 SAINT JOSEPH LN
LONDON KY
40741-8345
US

IV. Provider business mailing address

PO BOX 936
LONDON KY
40743-0936
US

V. Phone/Fax

Practice location:
  • Phone: 606-330-2377
  • Fax: 606-330-2369
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 Number
License Number State

VIII. Authorized Official

Name: CHRISTY LYNN SPITSER
Title or Position: MARKET VICE PRESIDENT
Credential:
Phone: 606-330-6016