1295738896 NPI number — ST. FRANCIS HOSPITAL INC.

Table of content: (NPI 1295738896)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295738896 NPI number — ST. FRANCIS HOSPITAL INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST. 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:
Provider Other Organization Name Type Code:
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:
1295738896
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/06/2021
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:
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:
302-421-4100
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
701 N CLAYTON ST
Provider Second Line Business Practice Location Address:
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:
302-421-4100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MCCORMICK
Authorized Official First Name:
R
Authorized Official Middle Name:
TAYLOR
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
302-421-6927

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  HSPTL004 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 004360 . This is a "BLUE CROSS PHILA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 080003 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 004360 . This is a "AMERIHEALTH HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 155993 . This is a "BC OF DE, IP SNF" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 25460 . This is a "COVENTRY PRINCIPAL HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9121 . This is a "AETNA USHC ACCESS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 004360 . This is a "AMERIHEALTH POS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 080003 . This is a "AMERIHEALTH TPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6355 . This is a "BLUE CROSS PHILA - SNF" identifier . This identifiers is of the category "OTHER".
  • Identifier: 225885 . This is a "ALLIANCE PPO INC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9121 . This is a "AETNA USHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 004360 . This is a "AMERIHEALTH PPO/PC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 151003 . This is a "BLUE CROSS OF DELAWARE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 107 . This is a "SCREENING FOR LIFE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 018434600 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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