1245343623 NPI number — ST. FRANCIS HOSPITAL

Table of content: (NPI 1245343623)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245343623 NPI number — ST. FRANCIS HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST. FRANCIS HOSPITAL
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:
ST. FRANCIS CT SURGERY
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:
1245343623
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/29/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
701 N CLAYTON ST
Provider Second Line Business Mailing Address:
MEDICAL OFFICE BLDG 401
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19805-3165
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-421-4800
Provider Business Mailing Address Fax Number:
302-421-4189

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
701 N CLAYTON ST
Provider Second Line Business Practice Location Address:
MEDICAL OFFICE BLDG 401
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19805-3165
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-421-4800
Provider Business Practice Location Address Fax Number:
302-421-4189
Provider Enumeration Date:
08/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CAPONE
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
C.
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
302-575-8316

Provider Taxonomy Codes

  • Taxonomy code: 208G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0001001202 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2120316000 . This is a "BLUE SHIELD PC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2935112 . This is a "AETNA USHC HMO" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: CH6436 . This is a "RR MEDICARE PALMETTO GBA" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 2935112 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7946418 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2120316000 . This is a "KEYSTONE HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2120316000 . This is a "AMERIHEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 216359 . This is a "COVENTRY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 51006THOR . This is a "BLUE SHIELD OF DE" identifier . This identifiers is of the category "OTHER".




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