Healthcare Provider Details
I. General information
NPI: 1376214981
Provider Name (Legal Business Name): FRANCISCAN HEALTH INDIANAPOLIS & MOORESVILLE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2021
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10777 ILLINOIS STREET
CARMEL IN
46032
US
IV. Provider business mailing address
8111 S EMERSON AVE
INDIANAPOLIS IN
46237-8601
US
V. Phone/Fax
- Phone: 317-528-5000
- Fax:
- Phone: 317-528-5000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 284300000X |
| Taxonomy | Special Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
HERRON
Title or Position: DIVISIONAL CFO
Credential:
Phone: 317-528-6877