NPIMap

Organization Active NPI

St. Joseph's Hospital

  • Psychiatric Hospital
  • Huntingburg, IN
National Provider Identifier
1023328200
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
ST. JOSEPH'S HOSPITAL
Practice address
1900 Medical Arts Dr
Huntingburg, IN 47542-9521
Phone
(352) 256-8357
NPI assigned
Oct 20, 2010
Last updated
Oct 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Muhammad Wasim Sajid, M.D.
Title
Ceo
Phone
(352) 256-8357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

1900 Medical Arts Dr
Huntingburg, IN 47542-9521

Mailing address

14707 Landis Lakes Dr
Louisville, KY 40245-3971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023328200. Details of each certification follow.

Hospital certification: CCN 150019

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
DEACONESS ST JOSEPH'S HOSPITAL
Certification status
Terminated Other: provider status change, Jun 1, 2004
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 17, 2002
Beds
87
Ownership / control type
Private (not for profit)
Facility address
1900 Medical Arts Drive
Huntingburg, IN 47542

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1023328200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14707 LANDIS LAKES DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402453971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MEDICAL ARTS DR",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475429521",
            "telephone_number": "352-256-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "SAJID",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "WASIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-256-8357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingburg, IN

Sources for this page

Verify at the official NPI Registry.