Healthcare Provider Details

I. General information

NPI: 1851581375
Provider Name (Legal Business Name): ST. FRANCIS HOSPITAL AND HEALTH CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2007
Last Update Date: 07/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N 17TH AVE SUITE 300
BEECH GROVE IN
46107-1231
US

IV. Provider business mailing address

110 N 17TH AVE SUITE 300
BEECH GROVE IN
46107-1231
US

V. Phone/Fax

Practice location:
  • Phone: 317-783-8494
  • Fax: 317-782-6008
Mailing address:
  • Phone: 317-783-8494
  • Fax: 317-782-6008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number01036063A
License Number StateIN

VIII. Authorized Official

Name: JOHN MURPHY
Title or Position: CEO
Credential:
Phone: 317-781-3604