Healthcare Provider Details

I. General information

NPI: 1255561163
Provider Name (Legal Business Name): ST. FRANCIS HOSPITAL AND HEALTH CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2009
Last Update Date: 10/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5330 E STOP 11 RD
INDIANAPOLIS IN
46237-6345
US

IV. Provider business mailing address

PO BOX 664056
INDIANAPOLIS IN
46266-4056
US

V. Phone/Fax

Practice location:
  • Phone: 317-893-1900
  • Fax: 317-893-1901
Mailing address:
  • Phone: 317-893-1900
  • Fax: 317-893-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

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