NPIMap

Organization Active NPI

Governor Juan F. Luis Hospital & Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • St Croix, VI
National Provider Identifier
1740238534
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
GOVERNOR JUAN F. LUIS HOSPITAL & MEDICAL CENTER
Practice address
4007 Estate Diamond Ruby
Christiansted
St Croix, VI 00820-4435
Phone
(340) 778-6311
Fax
(340) 778-8038
NPI assigned
May 4, 2006
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Ms. Rosalie Javois
Title
Chiel Financial Officer
Phone
(340) 778-6311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

4007 Estate Diamond Ruby
Christiansted
St Croix, VI 00820-4435

Mailing address

4007 Estate Diamond Ruby
Christiansted
St Croix, VI 00820-4435
Phone (340) 778-6311

Other names 1

  • St. Croix Hospital Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181023003497 VI Part A Provider - End-Stage Renal Disease Facility (ESRD) 1153233804 Practice locations: Christiansted, VI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Governor Juan F. Luis HospitalCCN 482302
Overall star rating
2.0 of 5
Ownership
Non-profit
Certified
Jun 9, 1995
Medicare certification status
Terminated Voluntary: other reason for withdrawal, Sep 7, 2017From the Provider of Services file
Dialysis stations
7

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 325

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 325

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1740238534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 ESTATE DIAMOND RUBY",
            "address_2": "CHRISTIANSTED",
            "city": "ST CROIX",
            "state": "VI",
            "postal_code": "008204435",
            "telephone_number": "340-778-6311",
            "fax_number": "340-778-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 ESTATE DIAMOND RUBY",
            "address_2": "CHRISTIANSTED",
            "city": "ST CROIX",
            "state": "VI",
            "postal_code": "008204435",
            "telephone_number": "340-778-6311",
            "fax_number": "340-778-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOVERNOR JUAN F. LUIS HOSPITAL & MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "JAVOIS",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_title_or_position": "CHIEL FINANCIAL OFFICER",
        "authorized_official_telephone_number": "340-778-6311",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Croix Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in St Croix, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.