Provider Demographics
NPI:1730284837
Name:ST FRANCIS HOSPITAL AND HEALTH CENTERS
Entity Type:Organization
Organization Name:ST FRANCIS HOSPITAL AND HEALTH CENTERS
Other - Org Name:INDIANA ONCOLOGY HEMATOLOGY CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOOMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-782-6239
Mailing Address - Street 1:PO BOX 664224
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46266-4224
Mailing Address - Country:US
Mailing Address - Phone:317-927-5770
Mailing Address - Fax:317-735-7543
Practice Address - Street 1:9002 N MERIDIAN ST
Practice Address - Street 2:SUITE 214
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-5381
Practice Address - Country:US
Practice Address - Phone:317-927-5770
Practice Address - Fax:317-735-7543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN0960980003Medicare NSC