NPIMap

Organization Active NPI

St. Joseph Hospital & Health Center, Inc.

Doing business as Ascension St. Vincent Kokomo

  • General Acute Care Hospital
  • Kokomo, IN
National Provider Identifier
1780625442
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
060050102 Issued in IN
Legal business name
ST. JOSEPH HOSPITAL & HEALTH CENTER, INC.
Doing business as
Ascension St. Vincent Kokomo
Practice address
1907 W Sycamore St
Kokomo, IN 46901-4197
Phone
(765) 456-5300
NPI assigned
Jun 10, 2006
Last updated
Jun 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Kathy A. Young, MS, FACHE
Title
President/Ceo
Phone
(765) 456-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 060050102 IN Primary

Addresses

Primary practice location

1907 W Sycamore St
Kokomo, IN 46901-4197

Mailing address

1907 W Sycamore St
P.O. Box 9010
Kokomo, IN 46904-9010
Phone (765) 456-5300

Other identifiers 1

IdentifierTypeStateIssuer
100269010AMedicaidIN

Other names 1

  • Ascension St. Vincent Kokomo Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040427000228 IN Part B Supplier - Clinic/Group Practice 1153318720 Receives reassigned benefits from 27 practitioners
2 other NPIs on this enrollment
Practice locations: Kokomo, IN
O20071213000133 IN Part A Provider - Hospital 1153318720 Practice locations: Peru, IN; Kokomo, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780625442. Details of each certification follow.

Hospital certification: CCN 150010

Legal name
ST. JOSEPH HOSPITAL & HEALTH CENTER, INC.
Doing business as
ASCENSION ST. VINCENT KOKOMO
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 8, 2004
Beds
167
Ownership / control type
Church
Organization structure
CorporationNon-profit
Enrollment address
1907 W Sycamore St
Kokomo, IN 46901-5148
Main/Primary Hospital Location
Hospital subgroups
Acute care, Rehabilitation

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

Other NPIs with the same Medicare PAC ID 1

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

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
Ascension St Vincent KokomoCCN 150010 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
John D Ayers MD4 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.

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Ronald C Perkins Individual Corporate DirectorBoard Member Jul 1, 2025
Don C Damron Individual Corporate OfficerAdministrator Jul 1, 2024
W-2 Managing EmployeeAd; Jul 1, 2024
Leo J Dierckman Individual Corporate DirectorBoard Member Jul 1, 2024
Don King Individual Corporate OfficerHome Office President & Ceo Dec 1, 2025
W-2 Managing EmployeeAd; Dec 1, 2025
Jill Payne Individual Corporate DirectorBoard Member Jul 1, 2025
Skander Nasser Individual Corporate DirectorBoard Member Jul 1, 2024
Kelly Karickhoff Individual Corporate DirectorBoard Member Jul 1, 2025
Allison Taylor Individual Corporate DirectorBoard Member Jul 1, 2025
Robin Ludlow Individual Corporate DirectorBoard Member Jul 1, 2024
Loraine Brown Individual Corporate DirectorBoard Member Jul 1, 2025
Chad Dilley Individual Corporate Director Sep 16, 1985
Deon Rowie Individual Corporate DirectorBoard Member Jul 1, 2025
Martha J Hoshaw Individual Corporate DirectorBoard Member Jul 1, 2024
Deric Roberts Individual W-2 Managing EmployeeSenior Director, Finance Jul 1, 2025
Becky Jacobson Individual Corporate OfficerVP of Finance Jul 1, 2019
W-2 Managing EmployeeVP of Finance Jul 1, 2019
Marion Teixeira Individual Corporate DirectorBoard Member Jul 1, 2025
Ascension Health Organization, Saint Louis, MO Non-profit Operational/Managerial Control Nov 1, 1999
Aleksander Overbey Individual Corporate DirectorBoard Member Jul 1, 2025
St Vincent Health Inc Organization, Indianapolis, IN Non-profit Operational/Managerial Control Nov 1, 1999 100%
Parveen Chand Individual Corporate DirectorBoard Member Jul 1, 2024

Owners & managing parties with NPI records 2

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

Facilities with the same owner 166

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

View all 166

Practitioners & affiliated clinicians

Practitioners 27

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 27

Affiliated clinicians 521

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

View all 521

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1780625442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 W SYCAMORE ST",
            "address_2": "P.O. BOX 9010",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469049010",
            "telephone_number": "765-456-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 W SYCAMORE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014197",
            "telephone_number": "765-456-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH HOSPITAL & HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "765-456-5300",
        "authorized_official_credential": "MS, FACHE"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "060050102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100269010A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension St. Vincent Kokomo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.