Healthcare Provider Details

I. General information

NPI: 1386749893
Provider Name (Legal Business Name): FRANCISCAN HEALTH INDIANAPOLIS & MOORESVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8111 S EMERSON AVE
INDIANAPOLIS IN
46237-8601
US

IV. Provider business mailing address

8111 S EMERSON AVE
INDIANAPOLIS IN
46237-8601
US

V. Phone/Fax

Practice location:
  • Phone: 317-528-8953
  • Fax: 317-528-6696
Mailing address:
  • Phone: 317-528-8953
  • Fax: 317-528-6696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number06-004972-1
License Number StateIN

VIII. Authorized Official

Name: AMY HERRON
Title or Position: DIVISIONAL CFO
Credential:
Phone: 317-528-6877