Provider Demographics
NPI:1245343623
Name:ST. FRANCIS HOSPITAL
Entity type:Organization
Organization Name:ST. FRANCIS HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP, FINANCE AND CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-710-2508
Mailing Address - Street 1:701 N CLAYTON ST
Mailing Address - Street 2:MEDICAL OFFICE BLDG 401
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3165
Mailing Address - Country:US
Mailing Address - Phone:734-343-2654
Mailing Address - Fax:302-421-4189
Practice Address - Street 1:701 N CLAYTON ST
Practice Address - Street 2:MEDICAL OFFICE BLDG 401
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3165
Practice Address - Country:US
Practice Address - Phone:302-421-4800
Practice Address - Fax:302-421-4189
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. FRANCIS HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-17
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
7946418OtherAETNA PPO
2120316000OtherAMERIHEALTH
2120316000OtherBLUE SHIELD PC
DECH6436OtherRR MEDICARE PALMETTO GBA
51006THOROtherBLUE SHIELD OF DE
216359OtherCOVENTRY
DE0001001202Medicaid
2120316000OtherAMERIHEALTH
216359OtherCOVENTRY
51006THOROtherBLUE SHIELD OF DE
2120316000OtherAMERIHEALTH
DECH6436OtherRR MEDICARE PALMETTO GBA
2935112OtherAETNA HMO