Provider Demographics
NPI:1417946021
Name:SAINT JOSEPH HOSPITAL, INC
Entity Type:Organization
Organization Name:SAINT JOSEPH HOSPITAL, INC
Other - Org Name:SAINT JOSEPH HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:BRADFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:MEMBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-602-7083
Mailing Address - Street 1:1375 E 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1114
Mailing Address - Country:US
Mailing Address - Phone:303-812-2000
Mailing Address - Fax:
Practice Address - Street 1:1375 E 19TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1114
Practice Address - Country:US
Practice Address - Phone:303-812-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SCL HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-10-17
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO010430282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO05028006Medicaid
CO060028Medicare Oscar/Certification