St Joseph Berea

LBN: St Joseph Berea
St Joseph Berea is an health care organization with primary practice located at 305 Estill St , Berea KY 40403-1742. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. St Joseph Berea can be contacted via phone (859) 986-6541, or through Jones, Jamie via phone (859) 986-6541.

Contact Information

Primary practice address
305 Estill St Berea KY 40403-1742
Phone: (859) 986-6541
Fax: (859) 986-2697
Website:
Map and Directions
Authorized official contact:
Name: Jones, Jamie RPH
Phone: (859) 986-6541

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PO6847 Kentucky
Suppliers / Institutional Pharmacy 3336I0012X

Profile Details

NPI number 1831134030
LBN Legal business name St Joseph Berea
DBA Doing business as
Authorized official Jones, Jamie RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831134030 NPPES
Other 1813333 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 54023502 OTHER ID NUMBER-COMMERCIAL NUMBER

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