Provider Demographics
NPI:1720260854
Name:ST. FRANCIS HOSPITAL, INC.
Entity Type:Organization
Organization Name:ST. FRANCIS HOSPITAL, INC.
Other - Org Name:WORKWELL OCCUPATIONAL HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:RONNIE
Authorized Official - Last Name:HYATT
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:864-282-4993
Mailing Address - Street 1:135 COMMONWEALTH DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4831
Mailing Address - Country:US
Mailing Address - Phone:864-675-4600
Mailing Address - Fax:864-675-4604
Practice Address - Street 1:135 COMMONWEALTH DR
Practice Address - Street 2:SUITE 120
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4831
Practice Address - Country:US
Practice Address - Phone:864-675-4600
Practice Address - Fax:864-675-4604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHTL793261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine