Provider Demographics
NPI:1679679146
Name:SAINT JOSEPH HEALTH SYSTEM, INC
Entity Type:Organization
Organization Name:SAINT JOSEPH HEALTH SYSTEM, INC
Other - Org Name:CHI SAINT JOSEPH MOUNT STERLING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-497-7702
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:859-497-5000
Mailing Address - Fax:859-498-5516
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:859-497-5000
Practice Address - Fax:859-498-5516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY100339282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100106530Medicaid
KY032024300OtherBLACK LUNG
KY163062300OtherWORKER'S COMP. PROVIDER N
KY50 00034OtherUNITEDHEALTHCARE PROVIDER
KY000000054540OtherANTHEM PROVIDER NUMBER
KY163062300OtherWORKER'S COMP. PROVIDER N
KY163062300OtherWORKER'S COMP. PROVIDER N