NPIMap

Organization Active NPI

Saint Joseph Health System Inc.

  • Rural Health Clinic/Center
  • Berea, KY
National Provider Identifier
1982955290
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
18-3473 Issued in KY
Legal business name
SAINT JOSEPH HEALTH SYSTEM INC.
Practice address
305 Estill St
Berea, KY 40403-1742
Phone
(859) 986-2343
Fax
(859) 986-2344
NPI assigned
Sep 26, 2012
Organization subpart
Yes
Parent organization
SAINT JOSEPH HEALTH SYSTEM INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Mr. Christy Spitser
Title
VP of Finance
Phone
(859) 313-1694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 18-3473 KY Primary

Addresses

Primary practice location

305 Estill St
Berea, KY 40403-1742

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other names 1

  • Saint Joseph Berea Family Medicine Doing business as

Medicare participation

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

Enrollment records 2

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
O20120118000472 KY Part A Provider - Rural Health Clinic 4183641400 1 other NPI on this enrollment
Practice locations: Berea, KY

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 13

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

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Saint Joseph Hospital Pharmacy21 organizations share this tax ID, including this one
Part of
Saint Joseph Hospital Pharmacy

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Tracey Gilbert Individual Operational/Managerial Control Dec 1, 2022
Commonspirit Health Organization, Englewood, CO Non-profit Other Feb 1, 2019
Adeline Fehribach Individual 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 - Vice Chair Jan 1, 2012
Matthew L Grimshaw Individual Corporate DirectorAdvisory Board Member (Ex Officio) Jul 1, 2025
Kentuckyone Health Inc Organization, Louisville, KY Non-profit 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 Director Jul 1, 2020
Thomas Kopfensteiner Individual Corporate DirectorBoard Member Jul 1, 2025
Carmel L Jones Individual Corporate Officer Dec 31, 2011
Operational/Managerial Control Dec 31, 2011
Christy L Spitser Individual 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 Director Jul 1, 2020
Martha Jones Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Monica Kennison Individual Corporate Officer Jul 1, 2024
Granetta Blevins Individual Corporate Officer Jul 1, 2022
Winston Griffin Individual Corporate Officer Jul 1, 2021
Melissa Moore Murphy Individual Corporate Officer Jul 1, 2021
Daryl Love Individual Corporate Officer Jul 1, 2024
Kim Potter-Blair Individual Corporate Officer Jul 1, 2021

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 4

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 BereaBerea, KY, CCN 181329 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
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 5

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

Practitioners & affiliated clinicians

Practitioners 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1982955290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "606-330-7825"
        },
        {
            "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": "859-986-2343",
            "fax_number": "859-986-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOSEPH HEALTH SYSTEM INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT JOSEPH HEALTH SYSTEM INC.",
        "enumeration_date": "2012-09-26",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "SPITSER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "859-313-1694",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KY",
            "license": "18-3473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Joseph Berea Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saint Joseph Berea Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.