MEDICARE: ST FRANCIS AFFILIATED SERVICES, 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	335E00000X	Prosthetic/Orthotic Supplier	244043	GA
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	234173	GA
3	332BX2000X	Oxygen Equipment & Supplies (DME)	234173	GA
4	332B00000X	Durable Medical Equipment & Medical Supplies	234173	GA

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	:	1629169362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST FRANCIS AFFILIATED SERVICES, INC

Provider Business Mailing Address
First Line	:	3744 WOODRUFF RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-5601
Country	:	US
Telephone Number	:	706-324-2402
Fax Number	:	706-324-1667

Provider Business Practice Location Address
First Line	:	3744 WOODRUFF RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-5601
Country	:	US
Telephone Number	:	706-324-2402
Fax Number	:	706-324-1667

Authorized Official
Title or Position	:	SR VICE PRESIDENT AND CFO
Name	:	MR. MATTHEW ANTHONY MOORE
Credential	:
Telephone Number	:	706-596-4000

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	08/04/2008

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Directions to “ST FRANCIS AFFILIATED SERVICES, INC ” Practice Location

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