# SAINT JOSEPH MEDICAL FOUNDATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** London Cardiovascular and Thoracic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457642159
- **Authorized official:** MS. CARMEL JONES (COO/VP FINANCE)
- **Authorized official phone:** (606) 330-6015

## Contact information

- **Practice address:** 1406 W 5TH ST, STE 303, LONDON, KY 40741-1688
- **Practice address phone:** (606) 862-9280
- **Practice address fax:** (606) 862-9290
- **Mailing address:** PO BOX 73652, CLEVELAND, OH 44193-0002
- **Mailing address phone:** (859) 313-2758
- **Mailing address fax:** (859) 276-5939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 04/28/2011
- **Last updated:** 08/16/2012