Provider Demographics
NPI:1659687127
Name:ST. FRANCIS HOSPITAL INC.
Entity Type:Organization
Organization Name:ST. FRANCIS HOSPITAL INC.
Other - Org Name:ST. FRANCIS HEALTHCARE FAMILY MEDICINE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:SZAFRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-421-4665
Mailing Address - Street 1:701 N CLAYTON ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3165
Mailing Address - Country:US
Mailing Address - Phone:302-575-8271
Mailing Address - Fax:302-575-8342
Practice Address - Street 1:2002 FOULK RD
Practice Address - Street 2:SUITE D
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-3643
Practice Address - Country:US
Practice Address - Phone:302-334-0330
Practice Address - Fax:302-334-0329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE205373Medicare PIN