Provider Demographics
NPI:1952707820
Name:ST. FRANCIS ORTHOPAEDIC INSTITUTE LLC
Entity Type:Organization
Organization Name:ST. FRANCIS ORTHOPAEDIC INSTITUTE LLC
Other - Org Name:ST. FRANCIS SPINE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO/SVP
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:S
Authorized Official - Last Name:HEMBREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-320-3751
Mailing Address - Street 1:PO BOX 7217
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31908-7217
Mailing Address - Country:US
Mailing Address - Phone:706-596-4226
Mailing Address - Fax:706-323-3425
Practice Address - Street 1:2300 MANCHESTER EXPY
Practice Address - Street 2:STE A6
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6805
Practice Address - Country:US
Practice Address - Phone:706-596-4225
Practice Address - Fax:706-323-3425
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. FRANCIS ORTHOPAEDIC INSTITUTE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-05
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529930201Medicaid
GA388406095AMedicaid
GA388406095AMedicaid