Provider Demographics
NPI:1659814044
Name:FRANCISCAN ACO, INC.
Entity Type:Organization
Organization Name:FRANCISCAN ACO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FA ACO REGIONAL VP
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTFALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-782-6671
Mailing Address - Street 1:700 E SOUTHPORT RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-8553
Mailing Address - Country:US
Mailing Address - Phone:317-782-6882
Mailing Address - Fax:
Practice Address - Street 1:700 E SOUTHPORT RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-8553
Practice Address - Country:US
Practice Address - Phone:317-782-6882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-02
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31316302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization