Provider Demographics
NPI:1821462136
Name:ST FRANCIS AFFILIATED SERVICES LLC
Entity Type:Organization
Organization Name:ST FRANCIS AFFILIATED SERVICES LLC
Other - Org Name:MIDTOWN ACUTE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESS
Authorized Official - Middle Name:
Authorized Official - Last Name:JUDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-920-7000
Mailing Address - Street 1:3465 MACON RD
Mailing Address - Street 2:STE. D
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-2581
Mailing Address - Country:US
Mailing Address - Phone:706-243-3051
Mailing Address - Fax:706-243-2027
Practice Address - Street 1:3465 MACON RD
Practice Address - Street 2:STE. D
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-2581
Practice Address - Country:US
Practice Address - Phone:706-243-3051
Practice Address - Fax:706-243-2027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-24
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care