Provider Demographics
NPI:1336623610
Name:FRANCISCAN HEALTH OLYMPIA FIELDS
Entity Type:Organization
Organization Name:FRANCISCAN HEALTH OLYMPIA FIELDS
Other - Org Name:FRANCISCAN DURABLE MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIVISIONAL CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WESSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-705-4530
Mailing Address - Street 1:16149 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:IL
Mailing Address - Zip Code:60426-5908
Mailing Address - Country:US
Mailing Address - Phone:800-848-2159
Mailing Address - Fax:
Practice Address - Street 1:1203 HADLEY RD STE 210
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46158-1886
Practice Address - Country:US
Practice Address - Phone:317-834-5969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-21
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies