St Joseph Health Enterprises

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ST JOSEPH HEALTH ENTERPRISES

Practice address

301 S State St
Oscoda, MI 48750-1636

Phone

(989) 362-8591

Fax

(989) 362-6100

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Donna Sandford

Title

Cfo

Phone

(989) 362-8591

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1376607366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HEMLOCK ST",
            "address_2": "PO BOX 659",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639237",
            "telephone_number": "989-362-8591",
            "fax_number": "989-362-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S STATE ST",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487501636",
            "telephone_number": "989-362-8591",
            "fax_number": "989-362-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH HEALTH ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "SANDFORD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "989-362-8591"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "540C50277",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USPS DEPT OF LABOR",
            "identifier": "607014700",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4882035",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Ethan Senn
• Heather Leigh Smith, LLBSW
• Sobaks Home Medical, Inc.
• Marissa Speckmann
• Donald C Spencer
• Andrew James Starr, PHARMD
• Cayla Stevens
• Jeffrey Karl Stier, MA, LPC
• Kimberly Kay Stier, R.PH.
• Sunrise Side Home Healthcare Agency, Inc.

• Durable Medical Equipment & Medical Supplies in Oscoda, MI
• Providers in Oscoda, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.