NPIMap

Organization Active NPI

Saint Joseph Health System Inc

Doing business as Martin Clinic

  • Rural Health Clinic/Center
  • Martin, KY
National Provider Identifier
1952530495
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SAINT JOSEPH HEALTH SYSTEM INC
Doing business as
Martin Clinic
Practice address
12579 Main Street
Martin, KY 41649-0910
Phone
(606) 285-0681
Fax
(606) 285-9843
NPI assigned
Jul 6, 2009
Last updated
Jul 13, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT JOSEPH HEALTH SYSTEM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Mrs. Kathy Stumbo
Title
President
Phone
(606) 285-6602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

12579 Main Street
Martin, KY 41649-0910

Mailing address

P.O. Box 910
Martin, KY 41649-0910
Phone (606) 285-0681

Other identifiers 1

IdentifierTypeStateIssuer
35001007MedicaidKY

Other names 1

  • Martin Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051026000806 KY Part B Supplier - Clinic/Group Practice 4183641400 Receives reassigned benefits from 28 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Berea, KY; Corbin, KY; Lexington, KY; London, KY; Mt Sterling, KY

Other NPIs on the same Medicare enrollment 12

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

National Provider Directory

National Provider Directory
Part of
St Joseph East

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1952530495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 910",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416490910",
            "telephone_number": "606-285-0681",
            "fax_number": "606-285-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12579 MAIN STREET",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416490910",
            "telephone_number": "606-285-0681",
            "fax_number": "606-285-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOSEPH HEALTH SYSTEM INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT JOSEPH HEALTH SYSTEM INC",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "STUMBO",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-285-6602",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35001007",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.