Active NPI
Saint Joseph's Hospital, Inc.
Doing business as St. Joseph's Hospital Pathology Lab
- Clinical Medical Laboratory
- Savannah, GA
National Provider Identifier
1083842694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 025009
- Legal business name
- SAINT JOSEPH'S HOSPITAL, INC.
- Doing business as
- St. Joseph's Hospital Pathology Lab
- Practice address
- 11705 Mercy Blvd
Savannah, GA 31419-1711 - Phone
- (912) 819-2404
- Fax
- (912) 819-2188
- NPI assigned
- Jun 23, 2009
- Last updated
- Jul 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul P Hinchey
- Title
- President/Ceo
- Phone
- (912) 819-2404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 025009 | GA | Primary |
Addresses
Primary practice location
11705 Mercy Blvd
Savannah, GA 31419-1711
Mailing address
5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 819-5290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11D0022060 | Other | GA | CLIA ID NUMBER |
| 00001801A | Medicaid | GA |
Other names 1
- St. Joseph's Hospital Pathology Lab
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0264961 | St Josephs Hospital Pathology Lab | Accreditation | Feb 27, 2027 |
| 11D0700422 | St Josephs Hospital Pulmonary Services | Accreditation | Jan 14, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Saint Joseph's Hospital Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248134400000",
"number": "1083842694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5353 REYNOLDS ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056015",
"telephone_number": "912-819-5290",
"fax_number": "912-819-5295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11705 MERCY BLVD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191711",
"telephone_number": "912-819-2404",
"fax_number": "912-819-2188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT JOSEPH'S HOSPITAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-23",
"last_updated": "2009-07-21",
"status": "A",
"authorized_official_last_name": "HINCHEY",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "912-819-2404"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "GA",
"license": "025009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA ID NUMBER",
"identifier": "11D0022060",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00001801A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Joseph's Hospital Pathology Lab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.