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Saint Joseph Health System Inc

Organization Active NPI Otolaryngology Physician · London, KY

NPI 1134553902 · NPPES record last updated Aug 31, 2020

Key facts

NPI
1134553902
Entity type
Organization (NPI type 2)
Primary specialty
Otolaryngology Physician 207Y00000X
Legal business name
SAINT JOSEPH HEALTH SYSTEM INC
Practice address
1406 W 5TH St Ste 1
London, KY 40741-1688
Phone
(606) 877-4579
Fax
(606) 330-6711
NPI assigned
Aug 28, 2013
Organization subpart
No

Authorized official

Name
Christy Spitser
Title
Authorized Official
Phone
(606) 877-4579

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member organizations 19

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 43

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Continuing Care Hospital Inc
Lexington, KY · CCN 182002		 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 30, 1998
CHI Saint Joseph Berea
Berea, KY · CCN 181329		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
CHI Saint Joseph London
London, KY · CCN 180011		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2008
CHI Saint Joseph Berea NF
Berea, KY · CCN 18Z329		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20131227001808 KY Part B Supplier - Clinic/Group Practice 4183641400 Receives reassigned benefits from 6 practitioners
Practice locations: Lexington, KY; London, KY

National Provider Directory

Locations

1025 Saint Joseph Ln
#2
London, KY 40741

1406 W 5th St
Ste 1
London, KY 40741
Phone (606) 877-4579

1025 Saint Joseph Ln
Fl 2
London, KY 40741

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207Y00000X Yes
Audiologist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 231H00000X
Medical Physician Assistant
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 363AM0700X

Addresses

Primary practice location

1406 W 5TH St Ste 1
London, KY 40741-1688

Mailing address

1406 W 5TH St Ste 1
London, KY 40741-1688
Phone (606) 877-4579

Other practice location 1

120 N Eagle Creek Dr
Ste 102
Lexington, KY 40509
Phone (859) 629-7140

Other names

  • Saint Joseph ENT Center Doing business as

Other providers in London, KY

All providers in London, KY · Otolaryngology Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.