Provider Demographics
NPI:1457389934
Name:SAINT FRANCIS MEDICAL CENTER
Entity type:Organization
Organization Name:SAINT FRANCIS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO - CHI HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:EVERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KUIPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-343-4420
Mailing Address - Street 1:PO BOX 9804
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68802-9804
Mailing Address - Country:US
Mailing Address - Phone:308-384-4600
Mailing Address - Fax:308-389-5574
Practice Address - Street 1:2620 W FAIDLEY AVE
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4205
Practice Address - Country:US
Practice Address - Phone:308-384-4600
Practice Address - Fax:308-398-5574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE370001261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025288400Medicaid
NE10025293000Medicaid
NED03446OtherBCBS
NE=========07Medicaid
NE=========17Medicaid
NE=========36Medicaid
NED03446OtherBCBS
NE10025293000Medicaid
NE=========10Medicaid
099488Medicare ID - Type UnspecifiedCLINIC-CAIRO/WOOD RIVER
NE10025293000Medicaid
099486Medicare ID - Type UnspecifiedCLINIC-NEUROLOGY
NE=========08Medicaid