Healthcare Provider Details

I. General information

NPI: 1932154846
Provider Name (Legal Business Name): ST FRANCIS MEDICAL CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 GRAMMONT STREET SUITE 401
MONROE LA
71201-7385
US

IV. Provider business mailing address

312 GRAMMONT STREET STE 401
MONROE LA
71201-7385
US

V. Phone/Fax

Practice location:
  • Phone: 318-361-0085
  • Fax: 318-325-3501
Mailing address:
  • Phone: 318-361-0085
  • Fax: 318-325-3501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. RONALD E HOGAN
Title or Position: CFO/VP OF FINANCE SFMC
Credential:
Phone: 318-327-7369