NPIMap

Organization Active NPI

Saint Joseph Health System, Inc

  • Critical Access Hospital
  • Berea, KY
National Provider Identifier
1740488386
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
SAINT JOSEPH HEALTH SYSTEM, INC
Practice address
305 Estill St
Berea, KY 40403-1742
Phone
(859) 986-3151
Fax
(859) 313-3010
NPI assigned
Jul 5, 2007
Organization subpart
Yes
Parent organization
SAINT JOSEPH HEALTH SYSTEM, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Mrs. Dorothy Zimmerman
Title
Senior Director
Phone
(859) 313-1265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

305 Estill St
Berea, KY 40403-1742

Mailing address

1 Saint Joseph Dr
Lexington, KY 40504-3742
Phone (859) 313-1000

Other identifiers 1

IdentifierTypeStateIssuer
01000454MedicaidKY

Other names 1

  • CHI Saint Joseph Berea Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061104000662 KY Part A Provider - Critical Access Hospital 4183641400 1 other NPI on this enrollment
Practice locations: Berea, KY
O20120118000472 KY Part A Provider - Rural Health Clinic 4183641400 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Berea, KY

Hospital certification: CCN 181329

Legal name
SAINT JOSEPH HEALTH SYSTEM INC
Doing business as
CHI SAINT JOSEPH BEREA
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2005
Last certification
Jun 24, 2014
Beds
25
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2006 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Sep 30, 1998 in KY
Enrollment address
305 Estill St
Berea, KY 40403-1742
Other Hospital Practice Location

Rural health clinic certification: CCN 183473

Legal name
SAINT JOSEPH HEALTH SYSTEM INC
Doing business as
SAINT JOSEPH BEREA FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 28, 2012
Last certification
Feb 7, 2019
Ownership / control type
2A
Organization structure
CorporationNon-profit
Incorporated
Sep 30, 1998 in KY
Enrollment address
305 Estill St
FL 4
Berea, KY 40403-1742
Related CCNs
181329

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
CHI Saint Joseph Berea NFCCN 181329
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Saint Joseph Hospital Pharmacy

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2019 100%
Other Feb 1, 2019
Adeline Fehribach Individual Corporate DirectorBoard Member Jan 1, 2022
Corporate Officer Jul 1, 2021
Matthew Brown Individual Corporate OfficerPresident Jul 1, 2025
Corporate DirectorBoard Member Jul 1, 2025
Jane J Chiles Individual Corporate DirectorBoard Member Jan 1, 2022
Corporate DirectorBoard Member - Vice Chair Jan 1, 2012
Daniel Morissette Individual Corporate OfficerCfo, Commonspirit Health Feb 1, 2019
OtherCfo, Commonspirit Health Sep 2, 2023
Matthew L Grimshaw Individual Corporate DirectorAdvisory Board Member (Ex Officio) Jul 1, 2025
Kentuckyone Health Inc Organization, Lexington, KY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2012 100%
Other Feb 1, 2019
Terika Richardson Mbanu Individual Corporate DirectorBoard Member Jul 1, 2025
Donald D Hearne Individual Corporate OfficerSecretary Jul 1, 2025
Mary-Alicha Weldon Individual Corporate DirectorBoard Member Jan 1, 2022
Corporate Director Jul 1, 2020
Thomas Kopfensteiner Individual Corporate DirectorBoard Member Jul 1, 2025
Saint Joseph Health System Inc Organization, Lexington, KY 5% Or Greater Direct Ownership Interest Jan 1, 2012 100%
Christy L Spitser Individual Corporate OfficerVP of Finance Jan 1, 2022
W-2 Managing EmployeeVP of Finance Jan 1, 2022
Corporate OfficerVP of Finance Mar 1, 2014
W-2 Managing EmployeeVP of Finance Mar 1, 2014
Operational/Managerial ControlVP of Finance Mar 1, 2014
Daniel C Rodrigue Individual Corporate DirectorBoard Member Jan 1, 2022
Corporate Director Jul 1, 2020
Martha Jones Individual Corporate DirectorBoard Member- Board Chair Jan 1, 2022
Corporate DirectorAdvisory Board Member Jul 1, 2025
Monica Kennison Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Corporate Officer Jul 1, 2024
Granetta Blevins Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Corporate Officer Jul 1, 2022
Winston Griffin Individual Corporate DirectorBoard Member Jan 1, 2022
Corporate Officer Jul 1, 2021
Melissa Moore Murphy Individual Corporate DirectorBoard Member Jan 1, 2022
Corporate Officer Jul 1, 2021
Daryl Love Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Corporate Officer Jul 1, 2024
Kim Potter-Blair Individual Corporate DirectorBoard Member Jan 1, 2022
Corporate Officer Jul 1, 2021
Tracey Gilbert Individual Operational/Managerial Control Dec 1, 2022
Carmel L Jones Individual Corporate Officer Dec 31, 2011
Operational/Managerial Control Dec 31, 2011

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 15

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Continuing Care Hospital IncLexington, KY, CCN 182002 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 30, 1998
CHI Saint Joseph LondonLondon, KY, CCN 180011 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2008
CHI Saint Joseph Berea NFBerea, KY, CCN 18Z329 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

Affiliated clinicians 131

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 131

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1740488386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAINT JOSEPH DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043742",
            "telephone_number": "859-313-1000",
            "fax_number": "859-313-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ESTILL ST",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031742",
            "telephone_number": "859-986-3151",
            "fax_number": "859-313-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOSEPH HEALTH SYSTEM, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT JOSEPH HEALTH SYSTEM, INC",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "859-313-1265",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01000454",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI Saint Joseph Berea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.