1306021977 NPI number — ST. FRANCIS HOSPITAL AND HEALTH CENTERS

Table of content: (NPI 1306021977)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306021977 NPI number — ST. FRANCIS HOSPITAL AND HEALTH CENTERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST. FRANCIS HOSPITAL AND HEALTH CENTERS
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:
6
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:
1306021977
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 660315
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46266-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-781-3604
Provider Business Mailing Address Fax Number:
317-780-3345

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1001 HADLEY RD
Provider Second Line Business Practice Location Address:
SUITE 120
Provider Business Practice Location Address City Name:
MOORESVILLE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46158-1883
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-834-9051
Provider Business Practice Location Address Fax Number:
317-834-9065
Provider Enumeration Date:
01/02/2008

Additional Information

Authorized Official

Authorized Official Last Name:
MURPHY
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
317-781-3604

Provider Taxonomy Codes

  • Taxonomy code: 207RR0500X , with the licence number:  01057051A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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