Healthcare Provider Details

I. General information

NPI: 1982675955
Provider Name (Legal Business Name): SAINT FRANCIS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 W FAIDLEY AVE
GRAND ISLAND NE
68803-4205
US

IV. Provider business mailing address

2620 W FAIDLEY P.O. BOX 9804
GRAND ISLAND NE
68802-9804
US

V. Phone/Fax

Practice location:
  • Phone: 308-384-4600
  • Fax: 308-398-5589
Mailing address:
  • Phone: 308-384-4600
  • Fax: 308-398-5589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number370001
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number370001
License Number StateNE

VIII. Authorized Official

Name: EVERT KUIPER
Title or Position: CEO CHI HEALTH
Credential: M.D.
Phone: 402-343-4420