Healthcare Provider Details

I. General information

NPI: 1437149168
Provider Name (Legal Business Name): ST FRANCIS MEDICAL CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 07/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 JACKSON ST
MONROE LA
71201-7407
US

IV. Provider business mailing address

PO BOX 1901
MONROE LA
71210-1901
US

V. Phone/Fax

Practice location:
  • Phone: 318-327-4255
  • Fax: 318-327-4764
Mailing address:
  • Phone: 318-327-4255
  • Fax: 318-327-4764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number157
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number157
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number157
License Number StateLA

VIII. Authorized Official

Name: MR. RONALD HOGAN
Title or Position: CFO/SR VP
Credential:
Phone: 318-327-7369