Healthcare Provider Details

I. General information

NPI: 1629000740
Provider Name (Legal Business Name): SAINT FRANCIS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/05/2020
Certification Date: 08/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 SAINT FRANCIS DR
CAPE GIRARDEAU MO
63703
US

IV. Provider business mailing address

211 SAINT FRANCIS DR
CAPE GIRARDEAU MO
63703-5049
US

V. Phone/Fax

Practice location:
  • Phone: 573-331-5228
  • Fax: 573-331-5039
Mailing address:
  • Phone: 573-331-3000
  • Fax: 573-331-5079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY G WITTENBORN
Title or Position: CREDENTIALING
Credential:
Phone: 573-331-3080