Organization
ST. MARY MEDICAL CENTER
Active
Parent organization
ST JOSEPH HEALTH SYSTEM
Other names
Providence St. Mary Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST JOSEPH HEALTH SYSTEM
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
18300 US HIGHWAY 18, APPLE VALLEY, CA 92307-2206
(760) 242-2311
(760) 946-8824
Mailing address
18300 US HIGHWAY 18, APPLE VALLEY, CA 92307-2206
(760) 242-2311
(760) 946-8824
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
240000207
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT30300F
—
CA
05
—
ZZT40300F
—
CA
Enumeration date
05/03/2007
Last updated
05/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us