Provider Demographics
NPI:1457675969
Name:ST FRANCIS OBSTETRIC & GYNECOLOGY LLC
Entity Type:Organization
Organization Name:ST FRANCIS OBSTETRIC & GYNECOLOGY LLC
Other - Org Name:TRINITY CENTER FOR WOMEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO, SR VP
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:S
Authorized Official - Last Name:HEMBREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-596-4000
Mailing Address - Street 1:PO BOX 9027
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31908-9027
Mailing Address - Country:US
Mailing Address - Phone:706-257-7430
Mailing Address - Fax:706-576-4958
Practice Address - Street 1:2724 WARM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-5245
Practice Address - Country:US
Practice Address - Phone:706-257-7430
Practice Address - Fax:706-576-4958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-26
Last Update Date:2014-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202G709629OtherMEDICARE PTAN