MEDICARE: FRANCISCAN HEALTH LAFAYETTE

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	251E00000X	Home Health Agency	005313	IN
2	251E00000X	Home Health Agency

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619970134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCISCAN HEALTH LAFAYETTE

Provider Business Mailing Address
First Line	:	1415 SALEM ST.
Second Line	:	SUITE 202W
City	:	LAFAYETTE
State	:	IN
Zip	:	47904-2099
Country	:	US
Telephone Number	:	765-449-5046
Fax Number	:	765-449-5192

Provider Business Practice Location Address
First Line	:	1415 SALEM ST
Second Line	:	SUITE 202W
City	:	LAFAYETTE
State	:	IN
Zip	:	47904-2099
Country	:	US
Telephone Number	:	765-449-5046
Fax Number	:	765-449-5192

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. TERRANCE E WILSON
Credential	:
Telephone Number	:	765-502-4440

Provider Enumeration Date	:	05/30/2005
Last Update Date	:	03/24/2017

Similar Medicare Providers

1336142785 — FRANCISCAN HEALTH LAFAYETTE
Practice Location Address:

1415 SALEM ST , SUITE 202W
LAFAYETTE, IN
47904-2099

Practice Phone: 765-449-5046
Practice Fax: 765-449-5192

1477491900 — GRACE SEBELLA
Practice Location Address:

415 N 26TH ST
LAFAYETTE, IN
47904-2895

Practice Phone: 866-682-5539
Practice Fax:

1043153786 — KATIE WING-SEE CHAN
Practice Location Address:

1725 SALEM ST
LAFAYETTE, IN
47904-2105

Practice Phone: 765-447-1276
Practice Fax:

1881696847 — ORAL SURGERY OFFICE LLC
Practice Location Address:

2204 SCOTT ST
LAFAYETTE, IN
47904-2933

Practice Phone: 765-447-0525
Practice Fax: 765-447-5815

1568464527 — DR. DAVID BRIAN COATES D.D.S.
Practice Location Address:

2204 SCOTT ST
LAFAYETTE, IN
47904-2933

Practice Phone: 765-447-0525
Practice Fax: 765-447-5815

1417953118 — LEE ALLEN HENDERSON MD
Practice Location Address:

2400 SOUTH ST. , DEPARTMENT OF PATHOLOGY
LAFAYETTE, IN
47904

Practice Phone: 765-448-4319
Practice Fax: 765-448-2921

Directions to “FRANCISCAN HEALTH LAFAYETTE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.