Provider Demographics
NPI:1306003421
Name:ST FRANCIS HOSPITAL
Entity Type:Organization
Organization Name:ST FRANCIS HOSPITAL
Other - Org Name:ST. JOHN'S ST FRANCIS HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF QUALITY & COMPLIANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-934-7094
Mailing Address - Street 1:100 W US HIGHWAY 60
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:MO
Mailing Address - Zip Code:65548-8542
Mailing Address - Country:US
Mailing Address - Phone:417-934-7000
Mailing Address - Fax:417-934-7197
Practice Address - Street 1:100 W US HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:MO
Practice Address - Zip Code:65548-8542
Practice Address - Country:US
Practice Address - Phone:417-934-7000
Practice Address - Fax:417-934-7197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO447-7282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO111065OtherHEALTH LINK
MO260018OtherPREMIER INPATIENT
MO540491602Medicaid
MO010491603Medicaid
MO50046OtherPREMIER-PHYSICIAN
MO83310OtherARKANSAS BCBS-INPATIENT
MO8P159OtherARKANSAS BCBS-PHYSICIAN
MO26-1335Medicare PIN
MOCP8371Medicare PIN
MO8P159OtherARKANSAS BCBS-PHYSICIAN
MO26-Z335Medicare PIN