Provider Demographics
NPI:1639210206
Name:ST. FRANCIS IMAGING CENTER
Entity Type:Organization
Organization Name:ST. FRANCIS IMAGING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:STETTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-851-2888
Mailing Address - Street 1:3147 W. SMITH VALLEY RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143
Mailing Address - Country:US
Mailing Address - Phone:317-851-2888
Mailing Address - Fax:317-851-2877
Practice Address - Street 1:3147 W SMITH VALLEY RD
Practice Address - Street 2:SUITE D
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-8493
Practice Address - Country:US
Practice Address - Phone:317-851-2888
Practice Address - Fax:317-851-2877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service