ST JOSEPH'S HOSPITAL HEALTH CENTER – NPI #1417977745
Clinic/Center

ST JOSEPH'S HOSPITAL HEALTH CENTER is an AHC clinic located in SYRACUSE, NY. NPPES has assigned the NPI number 1417977745 to ST JOSEPH'S HOSPITAL HEALTH CENTER on July 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 18 years ago on Nov 04, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST JOSEPH'S HOSPITAL HEALTH CENTER below.

NPI Profile for
ST JOSEPH'S HOSPITAL HEALTH CENTER

NPI Number
1417977745
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST JOSEPH'S HOSPITAL HEALTH CENTER
Primary location
973 JAMES STREET
SYRACUSE, NY 13203
Phone: (315) 703-6700 Fax: (315) 703-6767
Mailing address
301 PROSPECT AVE
SYRACUSE, NY 13203
Phone: (315) 448-5880 Fax: (315) 448-6161
Organization Subpart
No
Authorized Official
MICHAEL SHAFFER
VP FOR FISCAL AFFAIRS, CFO
Phone: (315) 448-5880
Updated
Identifiers

Identifiers for ST JOSEPH'S HOSPITAL HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY02995893
MEDICAIDNY00315013
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.