MEDICARE: SAINT FRANCIS MEDICAL CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	363A00000X	Physician Assistant
4	363L00000X	Nurse Practitioner
5	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1851968770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT FRANCIS MEDICAL CENTER

Provider Business Mailing Address
First Line	:	PO BOX 801143
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64180-1143
Country	:	US
Telephone Number	:	573-331-5583
Fax Number	:	573-331-5079

Provider Business Practice Location Address
First Line	:	211 SAINT FRANCIS DR STE 1143
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63703-5049
Country	:	US
Telephone Number	:	573-331-5587
Fax Number	:	573-331-3327

Authorized Official
Title or Position	:	CFO
Name	:	JUSTIN DAVISON
Credential	:
Telephone Number	:	573-331-3000

Provider Enumeration Date	:	06/09/2021
Last Update Date	:	06/09/2021

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Directions to “SAINT FRANCIS MEDICAL CENTER ” Practice Location

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