Provider Demographics
NPI:1700885928
Name:ST. FRANCIS HOSPITAL INC.
Entity Type:Organization
Organization Name:ST. FRANCIS HOSPITAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-421-8039
Mailing Address - Street 1:701 N CLAYTON ST
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3165
Mailing Address - Country:US
Mailing Address - Phone:302-575-8271
Mailing Address - Fax:302-575-8342
Practice Address - Street 1:1100 N GRANT AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-2671
Practice Address - Country:US
Practice Address - Phone:302-778-2229
Practice Address - Fax:302-778-2250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X, 207V00000X
DE207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
100105OtherCOVENTRY HEALTH PLAN
2315187OtherAETNA
0306487000OtherKEYSTONE HEALTH PLAN
0306487000OtherAMERIHEALTH
G80020Medicare UPIN
G56144Medicare UPIN
DE184724Medicare PIN
100105OtherCOVENTRY HEALTH PLAN