St. Joseph Regional Health Network

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ST. JOSEPH REGIONAL HEALTH NETWORK

Doing business as

St. Joseph Health Network at Elverson

Practice address

45 S Pine St
Elverson, PA 19520-9720

Phone

(610) 913-1234

Fax

(717) 531-0690

NPI assigned

May 30, 2006

Last updated

Jan 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward Chabalowski

Title

Cfo

Phone

(610) 378-2300

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• St. Joseph Health Network at Elverson Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1376590711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S PINE ST",
            "city": "ELVERSON",
            "state": "PA",
            "postal_code": "195209720",
            "telephone_number": "610-913-1234",
            "fax_number": "717-531-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S PINE ST",
            "city": "ELVERSON",
            "state": "PA",
            "postal_code": "195209720",
            "telephone_number": "610-913-1234",
            "fax_number": "717-531-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH REGIONAL HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2022-01-03",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "CHABALOWSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-378-2300"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC",
            "identifier": "50050696",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "ST1739907",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "99129",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snester@pennstatehealth.psu.edu",
            "affiliation": "N",
            "address_1": "45 S Pine St",
            "city": "Elverson",
            "state": "PA",
            "country_code": "US",
            "postal_code": "195209720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. Joseph Health Network at Elverson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Joseph Health Network at Elverson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Elverson, PA
• Providers in Elverson, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.