Provider Demographics
NPI:1467412726
Name:SAINT FRANCIS MEDICAL CENTER
Entity Type:Organization
Organization Name:SAINT FRANCIS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-331-3000
Mailing Address - Street 1:211 ST FRANCIS DRIVE
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63703-8399
Mailing Address - Country:US
Mailing Address - Phone:573-331-3080
Mailing Address - Fax:573-331-5079
Practice Address - Street 1:211 ST FRANCIS DRIVE
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703
Practice Address - Country:US
Practice Address - Phone:573-331-3080
Practice Address - Fax:573-331-5079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO28429282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY01440833OtherKENTUCKY CAID
MO110375OtherHEALTHLINK
MO46165OtherGHP
MO153OtherBLUE CROSS/SHIELD ID#
MO3623OtherHEALTH ALLIANCE
MO01060802Medicaid
MO540160835Medicaid
AR146908105OtherARKANSAS CAID
MO288608307Medicaid
MO3623OtherHEALTH ALLIANCE
MO=========63703004OtherTRICARE PROVIDER#
KY=========OtherKENTUCKY CAID-DR