NPIMap

Organization Active NPI

Dignity Health

Doing business as St. Josephs Hospital and Medical Center Emergency Dept-Litchfield Park

  • Emergency Care Clinic/Center
  • Litchfield Park, AZ
National Provider Identifier
1265065445
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
DIGNITY HEALTH
Doing business as
St. Josephs Hospital and Medical Center Emergency Dept-Litchfield Park
Practice address
4975 N Dysart Rd Ste 100
Litchfield Park, AZ 85340-3087
Phone
(602) 406-8700
Fax
(602) 406-8870
NPI assigned
Feb 17, 2020
Last updated
Feb 17, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DIGNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Jeffrey Jackson
Title
Chief Financial Officer
Phone
(602) 406-4618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

4975 N Dysart Rd Ste 100
Litchfield Park, AZ 85340-3087

Mailing address

4975 N Dysart Rd Ste 100
Litchfield Park, AZ 85340-3087

Other names 1

  • St. Josephs Hospital and Medical Center Emergency Dept-Litchfield Park Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070801000387 AZ Part A Provider - Hospital 2062320559 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ; Glendale, AZ; Litchfield Park, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265065445. Details of each certification follow.

Hospital certification: CCN 030024

Legal name
DIGNITY HEALTH
Doing business as
ST JOSEPH'S HOSPITAL AND MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 16, 2016
Beds
586
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Oct 11, 1954 in CA
Enrollment address
350 W Thomas Rd
Phoenix, AZ 85013-4409
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Other

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Dignity Health

    dba St. Josephs Hospital and Medical Center Emergency Dept-Glendale

    • Emergency Care Clinic/Center
    • Glendale, AZ
    • NPI 1609408665

    O20070801000387

    Same enrollment
  • Dignity Health

    dba St. Joseph's Hospital and Medical Center

    • General Acute Care Hospital
    • Phoenix, AZ
    • NPI 1982733655

    O20070801000387

    Same enrollment
  • Dignity Health

    dba St. Joseph's Westgate Medical Center

    • General Acute Care Hospital
    • Glendale, AZ
    • NPI 1992131734

    O20070801000387

    Same enrollment

Care Compare: Hospital

Medicare Care Compare
Listed as
St Josephs Hospital and Medical CenterCCN 030024 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2182029Dignity Health St Joseph's Hospital & Medical4975 N Dysart Rd Suite 100, Litchfield Park, AZ 85340AccreditationAug 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Center74 organizations share this tax ID, including this one
Part of
Mercy Medical Center

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marvin O'Quinn Individual Corporate OfficerPresident/Chair Feb 1, 2019
Corporate DirectorPresident/Chair Jan 27, 2021
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2019 100%
Operational/Managerial Control Feb 1, 2019
Scott Carswell Individual Corporate DirectorBoard Member Jan 27, 2021
Dignity Health Organization, San Francisco, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 12, 1986 100%
Daniel Morissette Individual Corporate OfficerSevp/Chief Financial Officer Feb 1, 2019
Mitch Melfi Individual Corporate OfficerVice Chair & Secretary Jan 27, 2021
Corporate DirectorBoard Member Jan 27, 2021
Elizabeth Shih Individual Corporate OfficerAsst Secretary Jan 27, 2021
Corporate DirectorBoard Member Jan 27, 2021
Steven W Scharmann Individual Corporate OfficerAdministrator of Payor Programs Nov 14, 2022
Operational/Managerial ControlVP, Finance and Rev Cycle Feb 1, 2019
John E Petersdorf Individual Corporate OfficerAdministrator of Payor Programs Nov 14, 2022
Operational/Managerial ControlSVP/Operations Finance Feb 1, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 938

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 938

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1265065445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 N DYSART RD STE 100",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853403087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 N DYSART RD STE 100",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853403087",
            "telephone_number": "602-406-8700",
            "fax_number": "602-406-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "602-406-4618"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Josephs Hospital and Medical Center Emergency Dept-Litchfield Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Litchfield Park, AZ

Sources for this page

Verify at the official NPI Registry.