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Organization
SAINT JOSEPH MEDICAL FOUNDATION, INC
Active
Organization
SAINT JOSEPH MEDICAL FOUNDATION, INC
Active
Parent organization
SAINT JOSEPH MEDICAL FOUNDATION, INC
Other names
Saint Joseph Berea Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT JOSEPH MEDICAL FOUNDATION, INC
Authorized official
KANDI R REA (PHYSICIAN CREDENTIALING)
(606) 330-3404
Entity
Organization
Contact information
Practice address
305 ESTILL ST, 4TH FLOOR, BEREA, KY 40403-1742
(859) 986-2343
(859) 986-2344
Mailing address
PO BOX 73652, CLEVELAND, OH 44193-0002
(606) 330-3404
(606) 330-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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