Saint Joseph Health System Inc

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

600056 Issued in KY

Legal business name

SAINT JOSEPH HEALTH SYSTEM INC

Practice address

11203 Main St
Martin, KY 41649-7999

Phone

(859) 313-4120

Fax

(859) 313-4120

NPI assigned

Jul 11, 2005

Last updated

Apr 9, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

SAINT JOSEPH HEALTH SYSTEM INCAs reported in NPPES

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

Authorized official

Name

Kimberly R McIntosh

Title

Revenue Realization Center Manager

Phone

(859) 313-4120

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Saint Joseph Home Health Services

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Saint Joseph Health System, Inc

  dba CHI Saint Joseph Berea

  • Critical Access Hospital
  • Berea, KY
  • NPI 1740488386

  Member Of

  NPD member

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1720086176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416490910",
            "telephone_number": "859-313-4120",
            "fax_number": "859-313-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11203 MAIN ST",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416497999",
            "telephone_number": "859-313-4120",
            "fax_number": "859-313-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOSEPH HEALTH SYSTEM INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT JOSEPH HEALTH SYSTEM INC",
        "enumeration_date": "2005-07-11",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "REVENUE REALIZATION CENTER MANAGER",
        "authorized_official_telephone_number": "859-313-4120"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "611012503",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KY",
            "license": "600056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100106580",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffery Prater, MD
• Paul James Ross, PA-C
• Saint Joseph Health Inc (Mountain View)
• Saint Joseph Health System Inc
• Saint Joseph Health System Inc (Mountain View Clinic)
• Saint Joseph Health System Inc (Seton Family Health Center)
• Saint Joseph Health System Inc (Martin Clinic)
• Richard Salisbury, OD
• Melissa Ann Samons
• Ira Bonita Slone, BA

• Critical Access Hospital in Martin, KY
• Providers in Martin, KY by specialty
• Critical Access Hospital in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.