Organization
ST JOSEPH MEDICAL FOUNDATION, INC.
Active
Parent organization
ST JOSEPH MEDICAL FOUNDATION, INC.
Other names
St Joseph Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST JOSEPH MEDICAL FOUNDATION, INC.
Authorized official
MS. CARMEL JONES (PRESIDENT/COO)
(606) 309-5506
Entity
Organization
Contact information
Practice address
1401 HARRODSBURG RD, LEXINGTON, KY 40504-3751
(859) 277-7281
Mailing address
PO BOX 73652, CLEVELAND, OH 44193-0002
(859) 313-2758
(859) 276-5939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15167
LICENSE NUMBER
KY
Enumeration date
01/28/2011
Last updated
08/08/2013
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