Provider Demographics
NPI:1013979319
Name:FRANCISCAN HEALTH COMMUNITY
Entity Type:Organization
Organization Name:FRANCISCAN HEALTH COMMUNITY
Other - Org Name:ST MARY'S HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ALEN
Authorized Official - Last Name:STANISLAV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-696-8401
Mailing Address - Street 1:1925 NORFOLK AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-2667
Mailing Address - Country:US
Mailing Address - Phone:651-696-8400
Mailing Address - Fax:651-696-8431
Practice Address - Street 1:1925 NORFOLK AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-2667
Practice Address - Country:US
Practice Address - Phone:651-696-8400
Practice Address - Fax:651-696-8431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN330521314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN19329OtherHEALTH PARTNERS
MN7100261OtherMEDICA
MNNH0095OtherUCARE
MN8758MAOtherBLUE CROSS
MN7122605OtherMEDICA
MN245457Medicare ID - Type Unspecified