Provider Demographics
NPI:1912902735
Name:ST FRANCIS HEALTH CENTER INC
Entity Type:Organization
Organization Name:ST FRANCIS HEALTH CENTER INC
Other - Org Name:ST FRANCIS HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ESSENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTGOMERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-270-7636
Mailing Address - Street 1:PO BOX 2745
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66601-2745
Mailing Address - Country:US
Mailing Address - Phone:785-295-8240
Mailing Address - Fax:785-295-5490
Practice Address - Street 1:1915 SW 6TH AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1601
Practice Address - Country:US
Practice Address - Phone:785-295-8240
Practice Address - Fax:785-295-5490
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SISTERS OF CHARITY OF LEAVENWORTH HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-17
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA-089-005251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100080610BMedicaid
KS177201Medicare Oscar/Certification