MEDICARE: ST. FRANCIS HOSPITAL 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	207V00000X	Obstetrics & Gynecology Physician		DE

General Provider Information

NPI Number	:	1447519319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. FRANCIS HOSPITAL INC.

Provider Business Mailing Address
First Line	:	1 W ELM ST
Second Line	:	SUITE 100
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-4108
Country	:	US
Telephone Number	:	610-567-5513
Fax Number	:	610-567-6955

Provider Business Practice Location Address
First Line	:	2002 FOULK RD
Second Line	:	SUITE A
City	:	WILMINGTON
State	:	DE
Zip	:	19810-3643
Country	:	US
Telephone Number	:	302-421-4775
Fax Number	:	302-421-4777

Authorized Official
Title or Position	:	CFO
Name	:	R. TAYLOR MCCORMICK
Credential	:
Telephone Number	:	302-421-4775

Provider Enumeration Date	:	05/11/2012
Last Update Date	:	05/11/2012

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