Healthcare Provider Details

I. General information

NPI: 1437188034
Provider Name (Legal Business Name): SAINT FRANCIS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S MOUNT AUBURN RD STE 344
CAPE GIRARDEAU MO
63703-4917
US

IV. Provider business mailing address

PO BOX 801143
KANSAS CITY MO
64180-1143
US

V. Phone/Fax

Practice location:
  • Phone: 573-331-5180
  • Fax: 573-331-5006
Mailing address:
  • Phone: 573-331-5180
  • Fax: 573-331-5006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number00010679
License Number StateMO

VIII. Authorized Official

Name: KIMBERLY D GILLILAND
Title or Position: CREDENTIALING
Credential:
Phone: 573-331-5583