Provider Demographics
NPI:1104000256
Name:COLUMBIA-ST JOSEPHS HEATHCARE SYSTEM LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:COLUMBIA-ST JOSEPHS HEATHCARE SYSTEM LIMITED PARTNERSHIP
Other - Org Name:ANESTHESIA ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCDOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-424-4111
Mailing Address - Street 1:1824 MURDOCH AVE
Mailing Address - Street 2:SUITE J
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-3230
Mailing Address - Country:US
Mailing Address - Phone:304-424-4057
Mailing Address - Fax:866-741-3900
Practice Address - Street 1:1824 MURDOCH AVE
Practice Address - Street 2:SUITE J
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-3230
Practice Address - Country:US
Practice Address - Phone:304-424-4057
Practice Address - Fax:866-741-3900
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLUMBIA-ST JOSEPHS HEALTHCARE SYSTEM LIMITED PARTNERSHIP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-26
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty