St. Joseph's Healthcare System Limited Partnership

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

ST. JOSEPH'S HEALTHCARE SYSTEM LIMITED PARTNERSHIP

Doing business as

St. Joseph's Hospital

Practice address

1824 Murdoch Ave
Parkersburg, WV 26101-3230

Phone

(304) 424-4111

Fax

(304) 424-4111

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

William M. Gracey

Title

Coo

Phone

(615) 372-8500

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• ST. JOSEPH'S HOSPITAL Doing business as

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689611725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 MURDOCH AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013230",
            "telephone_number": "304-424-4111",
            "fax_number": "304-424-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 MURDOCH AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013230",
            "telephone_number": "304-424-4111",
            "fax_number": "304-424-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S HEALTHCARE SYSTEM LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRACEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "615-372-8500"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5100033",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02682882",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257789",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014600620001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001078000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. JOSEPH'S HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlee Ann Squires, AU.D.
• Richard Michael Squires, AU.D.
• Christa J St. Andry
• St. Joseph Recovery Center, LLC
• St. Joseph's Healthcare System Limited Partnership (ST. JOSEPH'S HOSPITAL - Psychiatric Unit)
• Elizabeth A Staats
• Luanna Staats
• Tara Lynn Staats, NP-C
• Melissa Stackpole
• Philp Marsh Stadelman, CARE COORDINATOR

• General Acute Care Hospital in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• General Acute Care Hospital in West Virginia

• 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.