Provider Demographics
NPI:1881013373
Name:ST JOESEPH ORPHANAGE
Entity Type:Organization
Organization Name:ST JOESEPH ORPHANAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CPST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:THURSTON
Authorized Official - Suffix:
Authorized Official - Credentials:BA QMHS
Authorized Official - Phone:513-385-1900
Mailing Address - Street 1:5400 EDALBERT DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-7604
Mailing Address - Country:US
Mailing Address - Phone:513-385-1900
Mailing Address - Fax:513-741-5686
Practice Address - Street 1:5400 EDALBERT DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-7604
Practice Address - Country:US
Practice Address - Phone:513-385-1900
Practice Address - Fax:513-741-5686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management