Active NPI
Saint Joseph Clinic
- Primary Care Clinic/Center
- Everett, PA
National Provider Identifier
1982212510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- SAINT JOSEPH CLINIC
- Practice address
- 41 W 1St St
Everett, PA 15537-1103 - Phone
- (814) 344-7411
- Fax
- (814) 346-1800
- NPI assigned
- Jul 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernadette Flynn, DO
- Title
- President
- Phone
- (814) 979-1896
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Rural Health Clinic/Center | 261QR1300X |
Addresses
Primary practice location
41 W 1St St
Everett, PA 15537-1103
Mailing address
41 W 1St St
Everett, PA 15537-1103
Phone (814) 344-7411
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stjosephclinic@direct.practicefusion.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Everett, PA
- NPI 1518392513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604102400000",
"number": "1982212510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 W 1ST ST",
"city": "EVERETT",
"state": "PA",
"postal_code": "155371103",
"telephone_number": "814-344-7411",
"fax_number": "814-346-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 W 1ST ST",
"city": "EVERETT",
"state": "PA",
"postal_code": "155371103",
"telephone_number": "814-344-7411",
"fax_number": "814-346-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT JOSEPH CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-20",
"last_updated": "2020-10-31",
"certification_date": "2020-10-31",
"status": "A",
"authorized_official_last_name": "FLYNN",
"authorized_official_first_name": "BERNADETTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-979-1896",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stjosephclinic@direct.practicefusion.com",
"affiliation": "N",
"endpointDescription": "Saint Joseph Clinic direct secure email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "41 W 1st St",
"city": "Everett",
"state": "PA",
"country_code": "US",
"postal_code": "155371103",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Everett, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.