Healthcare Provider Details

I. General information

NPI: 1497873665
Provider Name (Legal Business Name): FRANCISCAN HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 04/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 QUINCY ST NE
WASHINGTON DC
20017-3041
US

IV. Provider business mailing address

1400 QUINCY ST NE
WASHINGTON DC
20017-3041
US

V. Phone/Fax

Practice location:
  • Phone: 202-494-8551
  • Fax:
Mailing address:
  • Phone: 202-494-8551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN SEBASTIAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 202-269-5454