Healthcare Provider Details

I. General information

NPI: 1518988864
Provider Name (Legal Business Name): ST. JOSEPH'S MINISTRIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 10/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 S SETON AVE
EMMITSBURG MD
21727-9226
US

IV. Provider business mailing address

331 S SETON AVE
EMMITSBURG MD
21727-9226
US

V. Phone/Fax

Practice location:
  • Phone: 301-447-7000
  • Fax: 301-447-7015
Mailing address:
  • Phone: 301-447-7000
  • Fax: 301-447-7015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number10014
License Number StateMD

VIII. Authorized Official

Name: SHERRY L KIPE
Title or Position: DIRECTOR OF FINANCIAL OPERATIONS
Credential:
Phone: 301-447-7000