1194971598 NPI number — SAINT FRANCIS HOSPITAL INC

Table of content: (NPI 1194971598)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194971598 NPI number — SAINT FRANCIS HOSPITAL INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAINT FRANCIS HOSPITAL INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DIAGNOSTIC IMAGING CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194971598
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/18/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 707001
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TULSA
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74170-7001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-502-8013
Provider Business Mailing Address Fax Number:
918-502-8002

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6605 S YALE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TULSA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74136-3326
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-481-4777
Provider Business Practice Location Address Fax Number:
918-502-7107
Provider Enumeration Date:
08/18/2008

Additional Information

Authorized Official

Authorized Official Last Name:
EDWARDS
Authorized Official First Name:
RENEE
Authorized Official Middle Name:
I
Authorized Official Title or Position:
DIRECTOR,PATIENTFINANCIALSERVICES
Authorized Official Telephone Number:
918-502-8010

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  2262 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00981255 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 010853406 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0918540 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108245105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000370091001 . This is a "BCBS" identifier , issued by the state of ( OK ) . This identifiers is of the category "OTHER".
  • Identifier: 0333660 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100099860A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: XHSP31145 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100038950A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1791148 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 094564100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: XHSP41145 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100699570C , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 126294 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30-4924037 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 40-4924046 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 871555600 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 010386322 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 072674701 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100699570A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".




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