Saint Joseph Hospital Inc
Organization Active NPI Maternal & Fetal Medicine Physician · Brighton, CO
NPI 1104450485 · NPPES record last updated Mar 12, 2020
Key facts
- NPI
- 1104450485
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Maternal & Fetal Medicine Physician 207VM0101X
- Legal business name
- SAINT JOSEPH HOSPITAL INC
- Practice address
- 1606 Prairie Center Pkwy Ste 210
Brighton, CO 80601-4004 - Phone
- (303) 318-2610
- Fax
- (303) 272-0748
- NPI assigned
- Feb 26, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Authorized official
- Name
- Jameson Smith
- Title
- President Saint Joseph Hospital
- Phone
- (303) 812-4927
Other NPIs on the same Medicare enrollment 11
Practitioners 5
-
Carolyn Huang, MD
-
Robert S McDuffie Jr., M.D.
-
Blaine M Olsen, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040102000258 | CO | Part B Supplier - Clinic/Group Practice | 6204735970 |
Receives reassigned benefits from 119 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Denver, CO |
National Provider Directory
- Part of
- Sisters of Charity of Leavenworth Health System Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician |
207VM0101X | Yes |
Addresses
Primary practice location
1606 Prairie Center Pkwy Ste 210
Brighton, CO 80601-4004
Mailing address
500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564
Other names
- MATERNAL FETAL MEDICINE CENTER
Other providers in Brighton, CO
- S. Matt Schacht, D.D.S., Professional Corporation
- David G. Sabott
- Lindsay Dawn Sack
- Safeway Inc
- Hope Sailas
- Saint Joseph Hospital, Inc
- Nicole Salemi
- Salud Family Health
- Salud Family Health
- Salud Family Health
All providers in Brighton, CO · Maternal & Fetal Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.