MEDICARE: SAINT JOSEPH MEDICAL CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	03035	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780674671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT JOSEPH MEDICAL CENTER, INC.

Provider Business Mailing Address
First Line	:	7601 OSLER DR
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21204-7700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7601 OSLER DR
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21204-7700
Country	:	US
Telephone Number	:	410-337-1000
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. RICHARD IMBIMBO
Credential	:
Telephone Number	:	410-337-1602

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	02/23/2012

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Directions to “SAINT JOSEPH MEDICAL CENTER, INC. ” Practice Location

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