Healthcare Provider Details

I. General information

NPI: 1801791900
Provider Name (Legal Business Name): SAINT FRANCIS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 PHYSICIANS PARK STE 200
POPLAR BLUFF MO
63901-3921
US

IV. Provider business mailing address

PO BOX 801143
KANSAS CITY MO
64180-1143
US

V. Phone/Fax

Practice location:
  • Phone: 573-331-5677
  • Fax: 573-331-5678
Mailing address:
  • Phone: 573-331-3000
  • Fax: 573-331-5073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: KIM G WITTENBORN
Title or Position: DIRECTOR, MSS AND CRED
Credential: CPCS
Phone: 573-331-3080