MEDICARE: ST. FRANCIS HEALTH SERVICES OF MORRIS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	360380	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043398274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. FRANCIS HEALTH SERVICES OF MORRIS, INC

Provider Business Mailing Address
First Line	:	801 NEVADA AVE
Second Line	:
City	:	MORRIS
State	:	MN
Zip	:	56267-1865
Country	:	US
Telephone Number	:	320-589-2004
Fax Number	:	320-589-2543

Provider Business Practice Location Address
First Line	:	50 E SAINT MARIE ST
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55803-2634
Country	:	US
Telephone Number	:	218-724-5500
Fax Number	:	218-724-5535

Authorized Official
Title or Position	:	CFO
Name	:	SHERRY WAGNER
Credential	:
Telephone Number	:	320-589-4902

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	04/08/2013

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