Provider Demographics
NPI:1407981160
Name:ST FRANCIS HOSPITAL INC
Entity Type:Organization
Organization Name:ST FRANCIS HOSPITAL INC
Other - Org Name:ST. FRANCIS OBGYN CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-421-4140
Mailing Address - Street 1:701 N CLAYTON ST
Mailing Address - Street 2:MOB SUITE 505
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3165
Mailing Address - Country:US
Mailing Address - Phone:302-421-4775
Mailing Address - Fax:302-421-4777
Practice Address - Street 1:701 N CLAYTON ST
Practice Address - Street 2:MOB SUITE 505
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3165
Practice Address - Country:US
Practice Address - Phone:302-421-4775
Practice Address - Fax:302-421-4777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC2-0004116207V00000X
DEC1-0002759207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1407981160Medicaid
DE720346Medicare PIN
DE72036Medicare PIN