Provider Demographics
NPI:1225228455
Name:ST JOSEPHS HILL INFIRMARY INC
Entity Type:Organization
Organization Name:ST JOSEPHS HILL INFIRMARY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-938-5151
Mailing Address - Street 1:ST JOSEPH ROAD
Mailing Address - Street 2:PO BOX 550
Mailing Address - City:EUREKA
Mailing Address - State:MO
Mailing Address - Zip Code:63025-0550
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:265 ST JOSEPH ROAD
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:MO
Practice Address - Zip Code:63025-0550
Practice Address - Country:US
Practice Address - Phone:636-938-5151
Practice Address - Fax:636-938-6398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO032146313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility