Provider Demographics
NPI:1750038691
Name:SAINT FRANCIS CENTER
Entity Type:Organization
Organization Name:SAINT FRANCIS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:K
Authorized Official - Last Name:MCKIMMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-253-8673
Mailing Address - Street 1:11161 16TH ST NE
Mailing Address - Street 2:
Mailing Address - City:SAINT MICHAEL
Mailing Address - State:MN
Mailing Address - Zip Code:55376-4218
Mailing Address - Country:US
Mailing Address - Phone:651-253-8673
Mailing Address - Fax:
Practice Address - Street 1:26125 TUCKER RD
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:MN
Practice Address - Zip Code:55374-9161
Practice Address - Country:US
Practice Address - Phone:651-253-8673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty