SAINT JOSEPH'S HOSPITAL, INC. (NPI# 1083842694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083842694 |
Entity Type | Organization |
Organization Name | SAINT JOSEPH'S HOSPITAL, INC. |
Other Organization Name | ST. JOSEPH'S HOSPITAL PATHOLOGY LAB |
Practice Address |
11705 Mercy Blvd Savannah GA 31419-1711 |
Mailing Address |
5353 Reynolds St Savannah GA 31405-6015 |
Practice Telephone | 9128192404 |
Practice Fax Number | 9128192188 |
Mailing Telephone | 9128195290 |
Mailing Fax Number | 9128195295 |
Enumeration Date | 2009-06-23 |
Last Update Date | 2009-07-21 |
Authorized Official Name | PAUL P HINCHEY (PRESIDENT/CEO) |
Authorized Official Telephone | 9128192404 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 025009 | GA | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00001801A | 05 | |
GA | CLIA ID NUMBER | 11D0022060 | 01 |
Other Name | Type Code |
---|---|
St. Joseph's Hospital Pathology Lab | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972599785 | Saint Joseph's Hospital, Inc. | Rehabilitation Unit | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2005-09-27 |
1063406684 | Saint Joseph's Hospital, Inc. | General Acute Care Hospital | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2005-09-09 |
Street Address |
11705 MERCY BLVD |
City | SAVANNAH |
State | GA |
Zip Code | 31419-1711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922001486 | Dennis A.k. Rice | Pharmacist | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2005-05-27 |
1942854625 | Mallory Duncan | Nurse Practitioner | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2019-07-30 |
1003380304 | Claudia Ellis | Physician Assistant | 11705 Mercy Blvd, Savannah, GA 31419 | 2019-01-20 |
1144795543 | Angela Darlene Gerrald | Registered Nurse | 11705 Mercy Blvd, Savannah, GA 31419-1791 | 2018-10-11 |
1720570211 | Jessica Hendley | Nurse Anesthetist, Certified Registered | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2018-05-31 |
1063912053 | Abigail White | Registered Nurse | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2018-02-15 |
1861907446 | Anna Dilworth Warren | Anesthesiologist Assistant | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2017-12-05 |
1740791813 | Emma Helmken | Physician Assistant | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2017-10-17 |
1619363561 | Evan John Van Peursem | Anesthesiology | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2015-04-07 |
1578967535 | Amy Marie Scroggin | Anesthesiologist Assistant | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2014-10-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
Find all providers in zip 31419 |
Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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1295007185 | Savannah Skin Pathology LLC | Clinical Medical Laboratory | 16 Mulberry Bluff Dr, Savannah, GA 31406-3268 | 2012-02-07 |
1164448296 | Chatham Orthopaedic Associates, P.a. | Clinical Medical Laboratory | 905 E 69th St, Savannah, GA 31405-4719 | 2006-07-14 |
1023635455 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 340 Eisenhower Dr Ste 1200, Savannah, GA 31406-2675 | 2020-07-01 |
1316286024 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 4700 Waters Ave, Savannah, GA 31404-6220 | 2013-02-01 |
1972739803 | Candler Hospital, Inc. | Clinical Medical Laboratory | 5353 Reynolds St, Savannah, GA 31405-6015 | 2009-06-05 |
1326205667 | Southeastern Pathology Associates Inc. | Clinical Medical Laboratory | 1000 Business Center Dr, Suite 130, Savannah, GA 31405-1326 | 2008-05-22 |
1174663306 | Randall Crum Inc. | Clinical Medical Laboratory | 11706 Mercy Blvd, Bldg. 4, Savannah, GA 31419-1751 | 2007-02-07 |
1669565834 | Chatham County Board of Health | Clinical Medical Laboratory | 1395 Eisenhower Dr, Savannah, GA 31416 | 2006-10-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.