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1053309211 NPI number — SISTERS OF ST. JOSEPH OF ST. MARK - MOUNT ST. JOSEPH

NPI Number: 1053309211
Health Care Provider/Practitioner: SISTERS OF ST. JOSEPH OF ST. MARK - MOUNT ST. JOSEPH

Information about “1053309211” NPI (SISTERS OF ST. JOSEPH OF ST. MARK - MOUNT ST. JOSEPH) exists in 1053309211 in HTML format HTML  |  1053309211 in plain Text format TXT  |  1053309211 in PDF (Portable Document Format) PDF  |  1053309211 in an XML format XML  formats.

NPI Number : 1053309211 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053309211",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SISTERS OF ST. JOSEPH OF ST. MARK - MOUNT ST. JOSEPH",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "21800 CHARDON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EUCLID",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44117-2125",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "216-531-7426",
    "MailingAddressFaxNumber": "216-531-4033",
    "FirstLinePracticeLocationAddress": "21800 CHARDON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EUCLID",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44117-2125",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "216-531-7426",
    "PracticeLocationAddressFaxNumber": "216-531-4033",
    "EnumerationDate": "10/12/2005",
    "LastUpdateDate": "09/09/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GREGG",
    "AuthorizedOfficialFirstName": "SISTER  MARY",
    "AuthorizedOfficialMiddleName": "RAPHAEL",
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN., LNHA",
    "AuthorizedOfficialTelephoneNumber": "216-531-7426",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": "206",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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