Organization Active NPI

St Joseph's Hospital of Huntingburg in

  • Land Ambulance
  • Huntingburg, IN
National Provider Identifier
1467513069
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0074 Issued in IN
Legal business name
ST JOSEPH'S HOSPITAL OF HUNTINGBURG IN
Practice address
1900 Medical Arts Dr
Huntingburg, IN 47542-9521
Phone
(812) 683-2121
Fax
(812) 683-6485
NPI assigned
Dec 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. John Faulkner, CEO
Title
Ceo
Phone
(812) 683-6107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0074 IN Primary

Addresses

Primary practice location

1900 Medical Arts Dr
Huntingburg, IN 47542-9521

Mailing address

1900 Medical Arts Dr
Huntingburg, IN 47542-9521
Phone (812) 683-2121

Other identifiers 4

IdentifierTypeStateIssuer
01340793OtherKYUNISYS
N285027OtherINHARMONY
1062410OtherKYPASSPORT
000000074879OtherINANTHEM

National Provider Directory

National Provider Directory
Tax ID family
St Joseph's Hospital of Huntingburg in4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467513069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MEDICAL ARTS DR",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475429521",
            "telephone_number": "812-683-2121",
            "fax_number": "812-683-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MEDICAL ARTS DR",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475429521",
            "telephone_number": "812-683-2121",
            "fax_number": "812-683-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH'S HOSPITAL OF HUNTINGBURG IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-683-6107",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IN",
            "license": "0074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISYS",
            "identifier": "01340793",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY",
            "identifier": "N285027",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1062410",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000074879",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingburg, IN

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.