Provider Demographics
NPI:1346504651
Name:FRANCISCAN ST. FRANCIS HEALTH
Entity Type:Organization
Organization Name:FRANCISCAN ST. FRANCIS HEALTH
Other - Org Name:ST FRANCIS IMMEDIATE CARE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BRODY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-787-3311
Mailing Address - Street 1:8111 S EMERSON AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-8601
Mailing Address - Country:US
Mailing Address - Phone:317-782-6621
Mailing Address - Fax:
Practice Address - Street 1:14641 US HIGHWAY 31 N
Practice Address - Street 2:SUITE E01
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-1029
Practice Address - Country:US
Practice Address - Phone:317-564-7025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-02
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
6475390005Medicare NSC