Provider Demographics
NPI:1235230046
Name:SAINT JOSEPH HEALTH SYSTEM, INC
Entity Type:Organization
Organization Name:SAINT JOSEPH HEALTH SYSTEM, INC
Other - Org Name:CHI SAINT JOSEPH MOUNT STERLING SNF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-497-5000
Mailing Address - Street 1:225 FALCON DR
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-9792
Mailing Address - Country:US
Mailing Address - Phone:859-498-1220
Mailing Address - Fax:
Practice Address - Street 1:225 FALCON DR
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-9792
Practice Address - Country:US
Practice Address - Phone:859-498-1220
Practice Address - Fax:859-498-5155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY100339275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY032024300OtherBLACK LUNG SWING
KY50 00034OtherUNITED HEALTHCARE SWING
KY7100106540Medicaid
KY000000054540OtherANTHEM SWING BED UNIT
KY7100106540Medicaid
KY50 00034OtherUNITED HEALTHCARE SWING