Organization
SAINT JOSEPH MEDICAL FOUNDATION, INC
Active
Parent organization
SAINT JOSEPH MEDICAL FOUNDATION, INC
Other names
Women's Care of Bardstown
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT JOSEPH MEDICAL FOUNDATION, INC
Authorized official
KANDI R REA (CREDENTIALING SPECIALIST)
(606) 330-3404
Entity
Organization
Contact information
Practice address
919 CHAMBERS BLVD, STE B, BARDSTOWN, KY 40004-2573
(502) 349-4604
(502) 349-4606
Mailing address
PO BOX 73652, CLEVELAND, OH 44193-0002
(606) 330-3404
(606) 330-3100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212480909
BLACK LUNG
KY
01
—
50025502
PASSPORT
KY
05
—
7100091360
—
KY
Enumeration date
08/19/2009
Last updated
08/18/2010
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