Organization Active NPI

St Joseph Health Services Inc

  • Public Health Dentistry
  • Lancaster, PA
National Provider Identifier
1174663314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
ST JOSEPH HEALTH SERVICES INC
Practice address
2135 Noll Dr
Suite C
Lancaster, PA 17603-7602
Phone
(717) 397-7625
Fax
(717) 397-6057
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jennifer Thompson
Title
President
Phone
(717) 397-7625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

2135 Noll Dr
Suite C
Lancaster, PA 17603-7602

Mailing address

2135 Noll Dr
Suite C
Lancaster, PA 17603-7602
Phone (717) 397-7625

Other identifiers 1

IdentifierTypeStateIssuer
1010687660001MedicaidPA

National Provider Directory

National Provider Directory

Locations

2135 Noll Dr
Ste C
Lancaster, PA 17603
Phone (717) 390-9870

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174663314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 NOLL DR",
            "address_2": "SUITE C",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037602",
            "telephone_number": "717-397-7625",
            "fax_number": "717-397-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 NOLL DR",
            "address_2": "SUITE C",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037602",
            "telephone_number": "717-397-7625",
            "fax_number": "717-397-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-397-7625",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010687660001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.