Provider Demographics
NPI:1235263625
Name:SAINT FRANCIS MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:SAINT FRANCIS MEMORIAL HOSPITAL
Other - Org Name:SAINT FRANCIS MEMORIAL HOSPITAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-353-6635
Mailing Address - Street 1:1825 S GRANT ST
Mailing Address - Street 2:SUITE 900
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-2655
Mailing Address - Country:US
Mailing Address - Phone:650-817-3181
Mailing Address - Fax:650-482-3592
Practice Address - Street 1:901 HYDE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4804
Practice Address - Country:US
Practice Address - Phone:415-776-4650
Practice Address - Fax:415-775-9691
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT FRANCIS MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-15
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY33323336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0544773OtherNCPDP
CAPH0A33320Medicaid