Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Joseph's Hospital Health Center

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1184654212

St Joseph's Hospital Health Center is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fayetteville, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4105 Medical Center Dr
Fayetteville, NY 13066-6636
Phone: (315) 329-7200
Fax: (315) 329-7203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1184654212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Shaffer — Vp Of Fiscal Affairs, Cfo · (315) 448-5880
NPI enumeratedJuly 4, 2006
Last updated in NPPESNovember 4, 2008
Mailing address301 Prospect Ave, Syracuse, NY 13203-1807

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