ST. JOSEPH HOSPITAL (NPI# 1154321545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154321545 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH HOSPITAL |
| Practice Address |
360 Broadway Bangor ME 04401-3979 |
| Mailing Address |
Po Box 95000 Lbx 7620 Philadelphia PA 19195-0001 |
| Practice Telephone | 2079071000 |
| Mailing Telephone | 2077778202 |
| Mailing Fax Number | 2077836660 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2019-07-17 |
| Authorized Official Name | MR. MICHAEL A HENDRIX (CFO) |
| Authorized Official Telephone | 2079071301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 38869 | ME | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194939215 | St. Joseph Hospital | Optometrist | 2900 N Lake Shore Dr., Chicago, IL 60657 | 2007-05-09 |
| 1881092765 | St. Joseph Hospital | Internal Medicine | 360 Broadway, Bangor, ME 04401-3979 | 2014-12-09 |
| 1245499292 | St. Joseph Hospital | Durable Medical Equipment & Medical Supplies | 4545 Cordata Parkway, Bellingham, WA 98226-7123 | 2008-06-05 |
| 1609079557 | St. Joseph Hospital | General Acute Care Hospital | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2007-06-07 |
| 1881799153 | St. Joseph Hospital | Specialist | 4295 Hempstead Tpke, Bethpage, NY 11714-5713 | 2006-09-13 |
| 1811935869 | St. Joseph Hospital | General Acute Care Hospital | 2605 Harlem Rd, Cheektowaga, NY 14225-4018 | 2006-06-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST JOSEPH HOSPITAL | 4295 Hempstead Turnpike, Bethpage, NY 11714-5713 |
| System for Award Management (SAM) Entities | ST JOSEPH HOSPITAL (INC) | 360 Broadway, Bangor, ME 04401-3979 |
| Colorado Business Entities | St Joseph Hospital Auxiliary | 1375 E 19th Ave, Denver, CO 80218 |
| System for Award Management (SAM) Entities | ST. JOSEPH HOSPITAL | 2700 Dolbeer St, Eureka, CA 95501-4736 |
| Colorado Business Entities | ST. JOSEPH HOSPITAL AND NURSING HOME OF DEL NORTE | 1280 Grande Ave, Del Norte, CO 81132 |
| Ohio Business Entities | ST. JOSEPH HOSPITAL OF LORAIN FOUNDATION | 209 Sixth St, Lorain, OH 44052 |
| System for Award Management (SAM) Entities | ST. JOSEPH HOSPITAL OF NASHUA, N.H. | 172 Kinsley St, Nashua, NH 03060-3648 |
| System for Award Management (SAM) Entities | ST. JOSEPH HOSPITAL OF ORANGE | 1100 W Stewart Dr, Orange, CA 92868-3849 |
| Washington State Corporations | ST. JOSEPH HOSPITAL, LLC | 330 Seven Springs Way, Brentwood, TN 37027 |
| Street Address |
360 BROADWAY |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346802170 | Sadie Austin | Physician Assistant | 360 Broadway, Bangor, ME 04401-3900 | 2019-07-02 |
| 1386202794 | Ashley Gott Haase | Physical Therapist | 360 Broadway, Bangor, ME 04401-3979 | 2019-05-31 |
| 1992286546 | Royce Blackwood | Physician Assistant | 360 Broadway, Bangor, ME 04401-3979 | 2018-08-22 |
| 1609356559 | Casey Marie Northup | Pharmacy Technician | 360 Broadway, Bangor, ME 04401-3900 | 2018-08-20 |
| 1407332869 | Sara Winings | Pharmacist | 360 Broadway, Bangor, ME 04401-3979 | 2018-07-18 |
| 1811489156 | Sandra Bartlett | Pharmacist | 360 Broadway, Bangor, ME 04401-3979 | 2018-06-02 |
| 1366999534 | Eliza Sharma | Internal Medicine | 360 Broadway, Bangor, ME 04401-3900 | 2016-09-06 |
| 1871946731 | Katelyn Hopper | Anesthesiology | 360 Broadway, Bangor, ME 04401-3979 | 2016-07-15 |
| 1790139459 | Stephen Calabrese | Anesthesiology | 360 Broadway, Bangor, ME 04401-3979 | 2016-04-19 |
| 1083073480 | Jesse Knowlton | Nurse Anesthetist, Certified Registered | 360 Broadway, Bangor, ME 04401-3900 | 2016-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789147 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-06-13 |
| 1134492846 | Eastern Maine Medical Center | General Acute Care Hospital | 417 State St, Suite 421, Bangor, ME 04401-6630 | 2012-02-13 |
| 1376811208 | Sunbury Primary Care | General Acute Care Hospital | 360 Broadway, Bangor, ME 04401-3979 | 2011-12-07 |
| 1780674580 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-10-24 |
| 1598755399 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-10-24 |
| 1588654479 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841780608 | Mid Coast Hospital | General Acute Care Hospital | 20 Bristol Rd, Damariscotta, ME 04543-4000 | 2018-05-16 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1891184560 | Eastern Maine Emergency Veterinary Clinic | General Acute Care Hospital | 15 Dirigo Dr, Brewer, ME 04412-1600 | 2015-01-17 |
| 1093132946 | Mercy Hospital | General Acute Care Hospital | 175 Fore River Pkwy, Portland, ME 04102-2779 | 2014-03-27 |
| 1134403223 | York Hospital | General Acute Care Hospital | 16 Hospital Dr Ste C, York, ME 03909-1011 | 2011-10-06 |
| 1356633655 | Southern Maine Health Care-workwell | General Acute Care Hospital | 13 July St, Sanford, ME 04073-1909 | 2011-05-05 |
| 1629078712 | Mercy Hospital | General Acute Care Hospital | 144 State St, Portland, ME 04101-3776 | 2005-07-29 |
| 1689670242 | Down East Community Hospital | General Acute Care Hospital | Rr 1 Box 11, Machias, ME 04654-9758 | 2005-06-28 |
| 1568465144 | Northern Maine Medical Center | General Acute Care Hospital | 194 East Main Street, Fort Kent, ME 04743-1428 | 2005-05-27 |
| 1578043378 | Mainehealth | General Acute Care Hospital | 6 Glen Cove Dr, Rockport, ME 04856-4273 | 2018-08-21 |
| Find all providers with the same taxonomy | ||||
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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.